Individual provider · Type 1 NPI
Stephanie Gill-Manville, LPC
Professional Counselor · New London, CT
NPI number
1376795112
Active
Practice location
21 Montauk Avene
New London, CT 06320-6397
Fax (860) 271-4797
Mailing address
PO Box 390
New London, CT 06320-0390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001752 (CT) |
Professional Counselor: Definition to come...
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About NPI 1376795112
Stephanie Gill-Manville, LPC's National Provider Identifier is 1376795112, issued on Oct 10, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New London, CT. The record was last updated on Mar 3, 2016.