Individual
AMANDA FONTAINE-ISKRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
675 MAIN ST, MIDDLETOWN, CT 06457-2732
(860) 347-6971
(860) 638-6831
Mailing address
575 MAIN ST STE 2, MIDDLETOWN, CT 06457-0010
(860) 347-6971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6945
CT
Other
Enumeration date
11/08/2023
Last updated
12/01/2023
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