Individual
TANYA WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
123 MIDDLE ST, BRISTOL, CT 06010-7404
(860) 281-2280
(860) 499-3514
Mailing address
123 MIDDLE ST, BRISTOL, CT 06010-7404
(860) 281-2280
(860) 499-3514
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2612
CT
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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