Individual
AMANDA TEGAN AHLCRONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 BOSTON POST RD FL 2, WATERFORD, CT 06385-2401
(860) 941-9384
Mailing address
11 BOSTON POST RD FL 2, WATERFORD, CT 06385-2401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5429
CT
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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