Organization
MYSTIC RIVER THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE DRUGAN LMFT (PROVIDING OWNER)
(860) 304-3503
Entity
Organization
Contact information
Practice address
112 NEW LONDON RD, GROTON, CT 06340-4869
(860) 304-3503
Mailing address
141 ALLEN ST, GROTON, CT 06340-4055
(860) 304-3503
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
12/06/2021
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