Individual
CHRISTINA LAVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110-1142
(844) 866-8336
Mailing address
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110-1142
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
006408
CT
101YP2500X
Professional Counselor
Primary
37PC00904800
NJ
101YP2500X
Professional Counselor
PC016244
PA
Other
Enumeration date
12/27/2018
Last updated
12/09/2024
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