Individual
WEDNESDAE EMILY ANN REIM IFRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CLAT, LPCC
Contact information
Practice address
110 CORBIN RD, HAMDEN, CT 06517-2907
(347) 856-7917
Mailing address
110 CORBIN RD, HAMDEN, CT 06517-2907
(203) 411-5450
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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