Individual
GINA GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOPE ST, BRISTOL, CT 06010-6374
(888) 793-3500
Mailing address
410 EMMETT ST UNIT 58, BRISTOL, CT 06010-8604
(860) 877-0248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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