Scott L Gourson LLC
NPI #1801147400 in Collinsville, Connecticut
Provider Information
- NPI Number
- 1801147400
- Entity Type
- Organization
- Organization Name
- Scott L Gourson LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Sep 24, 2012
- Last Updated
- Sep 24, 2012
Practice Location
- Address
- 111 MAIN ST
- City
- Collinsville
- State
- Connecticut
- ZIP Code
- 06019-3182
- Phone
- (860) 693-4201
Authorized Official
- Name
- DR. SCOTT L GOURSON, PHD, LPC, LDAC, CCDP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (860) 693-4201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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