Individual
THANH N TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-3494
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4632
CT
101YP2500X
Professional Counselor
LPC.0015110
CO
Other
Enumeration date
08/30/2016
Last updated
09/15/2022
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