person
Nicholas Gaughan, LPC
Professional Counselor in Griswold, Connecticut
NPI 1093071136

Nicholas Gaughan is a Professional Counselor based in Rogers, CT and is specialized in Professional. Nicholas Gaughan practices in Griswold, CT and has the professional credentials of LPC. The NPI Number for Nicholas Gaughan is 1093071136 and holds a License No. 001066 (Connecticut).

The current practice location address for Nicholas Gaughan is 70 Main St, Griswold, CT and can be reached out via phone at 860-634-0967.

Location: 70 Main St, Griswold, CT, 06263-0296
person
Provider Profile Details
NPI Number
1093071136
Provider Name
Nicholas Gaughan
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
70 Main St, Griswold, CT, 06263-0296
Phone Number
860-634-0967
Fax Number
Provider Enumeration Date
04/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1066 01 CT LADC
2682 01 CT LPC
institution
Provider Business Practice Location Address Details
Address
70 Main St
City
State
Zip
06351-2226
Phone Number
860-634-0967
Fax Number
person
Provider Business Mailing Address Details
Address
70 Main St
City
State
Zip
06351-2226
Phone Number
860-634-0967
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2682 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001066 (Connecticut)
Definition
Definition to come...
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