Individual
AMANDA DELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S LPC
Contact information
Practice address
2960 POST RD FL 3, SOUTHPORT, CT 06890-1268
(203) 307-3030
Mailing address
2960 POST RD FL 3, SOUTHPORT, CT 06890-1268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6329
CT
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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