Individual provider · Type 1 NPI
Beth B. Avery, LCSW
Professional Counselor · Mystic, CT
NPI number
1285658229
Active
Practice location
5 School St
Mystic, CT 06355-2717
Fax (860) 572-0667
Mailing address
PO Box 253
Old Mystic, CT 06372-0253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 004996 (CT) |
Professional Counselor: Definition to come...
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About NPI 1285658229
Beth B. Avery, LCSW's National Provider Identifier is 1285658229, issued on Jul 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mystic, CT. The record was last updated on Jul 8, 2007.