Individual
IVETTE BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
433 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2123
(860) 881-9856
Mailing address
76 JUDD RD, WETHERSFIELD, CT 06109-1135
(860) 881-9856
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001711
CT
Other
Enumeration date
08/20/2007
Last updated
01/16/2015
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