Individual
MS. KELLEY ANNE WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAS, LPC
Contact information
Practice address
3 BARNARD LN, BLOOMFIELD, CT 06002-2452
(860) 670-3623
Mailing address
1106 TROUT BROOK DR, WEST HARTFORD, CT 06119-1246
(860) 670-3623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3210
CT
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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