Individual
MS. AMANDA MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2 CORPORATE DR, SUITE NUMBER 209, TRUMBULL, CT 06611-1376
(203) 220-6595
Mailing address
2 CORPORATE DR, SUITE NUMBER 209, TRUMBULL, CT 06611-1376
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2594
CT
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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