Individual
MS. MARY TESS HANNAFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
141 DURHAM RD STE 19, MADISON, CT 06443-2657
(203) 479-0235
Mailing address
141 DURHAM RD STE 19, MADISON, CT 06443-2657
(203) 479-0235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4267
CT
Other
Enumeration date
02/24/2020
Last updated
09/29/2022
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