Individual provider · Type 1 NPI

John Phillip Gorman Iii

Mental Health Counselor · Willimantic, CT

NPI number 1972843019 Active

Practice location

433 Valley St
Willimantic, CT 06226-1901

Fax (860) 456-7202

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972843019

John Phillip Gorman Iii's National Provider Identifier is 1972843019, issued on Feb 27, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Willimantic, CT. The record was last updated on Feb 27, 2013.