Dr. Warren Corson III, Ph.D.
Counselor, Professional in Bristol, CT. Individual provider (NPI-1).
NPI number1205097243
StatusActive
Last updated in NPPESJun 23, 2008
Details
- NPI
- 1205097243
- Entity type
- Individual (NPI-1)
- Name
- Dr. Warren Corson III
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2008
- Last updated
- Jun 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 001465 | CT | Yes |
Practice location
53 Muir AveBristol, CT 06010-7215
Phone 860-582-7904 · Fax 860-582-4350
Mailing address
53 Muir AveBristol, CT 06010-7215
Phone 860-582-7904 · Fax 860-582-4350
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