Individual
MICHELLE AIRNE-VACHARAKUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
47 PALOMBA DR, ENFIELD, CT 06082-3868
(860) 253-5020
(860) 253-5030
Mailing address
36 SPRUCELAND RD, ENFIELD, CT 06082-2359
(860) 749-4243
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001241
CT
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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