Gaughan, Nicholas

Gaughan, Nicholas is an individual health care provider with primary practice located at 70 Main St , Griswold CT 06351-2226. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gaughan, Nicholas can be contacted via phone (860) 634-0967.

Contact Information

Primary practice address
70 Main St Griswold CT 06351-2226
Phone: (860) 634-0967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001066 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 2682 Connecticut

Profile Details

NPI number 1093071136
LBN Legal business name Gaughan, Nicholas
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated Dec 1st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093071136 NPPES
Connecticut Other 1066 LADC
Connecticut Other 2682 LADC

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