Individual
MS. ELAINE RENEE TAVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 916-0204
Mailing address
33 RIVENDELL RD, MARLBOROUGH, CT 06447-1260
(860) 228-4505
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001521
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057772
—
CT
Enumeration date
06/03/2013
Last updated
10/06/2020
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