Individual
TINA DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
233 ROUTE 6, COLUMBIA, CT 06237-1125
(860) 228-4480
(860) 779-5437
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 774-2020
(860) 779-5437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
Enumeration date
01/22/2015
Last updated
01/22/2015
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