Organization
CHRISTINA VANDEVENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA VANDEVENTER LPC (OWNER/PSYCHOTHERAPIST)
(860) 670-5463
Entity
Organization
Contact information
Practice address
74 NEW LONDON TPKE STE 8, GLASTONBURY, CT 06033-4204
(860) 670-5463
Mailing address
74 NEW LONDON TPKE STE 8, GLASTONBURY, CT 06033-4204
(860) 670-5463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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