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Individual

WEDNESDAE EMILY ANN REIM IFRACH

Active
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Individual

WEDNESDAE EMILY ANN REIM IFRACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC, CLAT, LPCC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
003003
CT
221700000X
Art Therapist
Primary
7
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008112886
CT
Enumeration date
12/30/2015
Last updated
01/13/2023
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