Individual provider · Type 1 NPI
Gary Vertula
Professional Counselor · Bridgeport, CT
NPI number
1780130674
Active
Practice location
260 Robin St
Bridgeport, CT 06606-4440
Fax (203) 332-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001749 (CT) |
Professional Counselor: Definition to come...
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About NPI 1780130674
Gary Vertula's National Provider Identifier is 1780130674, issued on Aug 30, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeport, CT. The record was last updated on Aug 30, 2016.