Individual provider · Type 1 NPI

Michael Guibord, LPCC

Professional Counselor · Manchester, CT

NPI number 1275629008 Active

Practice location

444 Center St
Manchester, CT 06040-3926

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X165206 (KY)
Professional Counselor Primary 101YP2500X102210 (KY)

Professional Counselor: Definition to come...

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About NPI 1275629008

Michael Guibord, LPCC's National Provider Identifier is 1275629008, issued on Oct 5, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manchester, CT. The record was last updated on Oct 4, 2024.