Individual provider · Type 1 NPI
Mary Laura McGannon, PhD
Professional Counselor · Essex, CT
NPI number
1386064582
Active
Practice location
29 Main St
Essex, CT 06426-1134
Mailing address
390 Darling Rd
Salem, CT 06420-3913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000176 (CT) |
Professional Counselor: Definition to come...
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About NPI 1386064582
Mary Laura McGannon, PhD's National Provider Identifier is 1386064582, issued on Apr 27, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Essex, CT. The record was last updated on Apr 27, 2014.