Organization
ELAINE TAVANI, MS, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE RENEE TAVANI MS, LMFT (SOLE MEMBER)
(860) 916-0204
Entity
Organization
Contact information
Practice address
41C NEW LONDON TPKE, GLASTONBURY, CT 06033-4206
(860) 916-0204
Mailing address
41C NEW LONDON TPKE, GLASTONBURY, CT 06033-4206
(860) 916-0204
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001521
CT
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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