Individual
BRYAN D MCCLOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 271-4700
(860) 271-4797
Mailing address
P. O. BOX 390, NEW LONDON, CT 06360-6484
(860) 271-4715
(860) 271-4797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3231
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
03/17/2018
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