Individual
ANNA POLTORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 AVON MEADOW LN BLDG 40, AVON, CT 06001-3753
(860) 325-0305
Mailing address
40 AVON MEADOW LN, AVON, CT 06001-3753
(860) 325-0305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3124
CT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/11/2015
Last updated
10/15/2020
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