Individual
MRS. AMANDA RAU MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 SEABREEZE RD, OLD SAYBROOK, CT 06475-2723
(860) 209-6165
Mailing address
5 SEABREEZE RD, OLD SAYBROOK, CT 06475-2723
(860) 209-6165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005571
CT
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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