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Larry Ira Gillman
Counselor in Newington, Connecticut
NPI 1740655737

Larry Ira Gillman is a Counselor based in Newington, CT. Larry Ira Gillman practices in Newington, CT. The NPI Number for Larry Ira Gillman is 1740655737 and holds a License No. (Connecticut).

The current practice location address for Larry Ira Gillman is 33 Augusta Dr, Newington, CT and can be reached out via phone at 860-666-5805.

Location: 33 Augusta Dr, Newington, CT, 06111-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740655737
Provider Name
Larry Ira Gillman
Credential
Provider Entity Type
Individual
Gender
Male
Address
33 Augusta Dr, Newington, CT, 06111-2502
Phone Number
860-666-5805
Fax Number
Provider Enumeration Date
12/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33 Augusta Dr
City
Newington
State
Connecticut
Zip
06111-2502
Phone Number
860-666-5805
Fax Number
person
Provider Business Mailing Address Details
Address
33 Augusta Dr
City
Newington
State
Connecticut
Zip
06111-2502
Phone Number
860-666-5805
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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