Individual provider · Type 1 NPI
Larry Ira Gillman
Counselor · Newington, CT
NPI number
1740655737
Active
Practice location
33 Augusta Dr
Newington, CT 06111-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1740655737
Larry Ira Gillman's National Provider Identifier is 1740655737, issued on Dec 2, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Newington, CT. The record was last updated on Dec 2, 2015.