Individual provider · Type 1 NPI

Alicia Brengman, PhD, MS

Professional Counselor · Groton, CT

NPI number 1306310255 Active

Practice location

500 Poquonnock Rd
Groton, CT 06340-4568

Call (860) 445-2191 Map

Fax (860) 449-1869

Mailing address

255 Hempstead St
New London, CT 06320-6204

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X004342 (CT)

Professional Counselor: Definition to come...

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About NPI 1306310255

Alicia Brengman, PhD, MS's National Provider Identifier is 1306310255, issued on Jan 14, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Groton, CT. The record was last updated on Jul 9, 2021.