Individual
DONOVAN BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 PERSHING AVE, SEYMOUR, CT 06483-2811
(203) 906-4884
Mailing address
39 PERSHING AVE, SEYMOUR, CT 06483-2811
(203) 906-4884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7801
CT
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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