Individual provider · Type 1 NPI

Lisbeth Gannon, LPC

Professional Counselor · Madison, CT

NPI number 1669744991 Active · reactivated Aug 21, 2020

Practice location

147 Durham Rd Ste 13
Madison, CT 06443-2678

Call (860) 575-8700 Map

Mailing address

446 Evergreen Ave
Hamden, CT 06518-2406

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X002159 (CT)

Professional Counselor: Definition to come...

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About NPI 1669744991

Lisbeth Gannon, LPC's National Provider Identifier is 1669744991, issued on Feb 2, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, CT. The record was last updated on Jun 26, 2025.