Individual
MS. PATRICIA AURORA DEVENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LADC,NCGCII
Contact information
Practice address
645 FARMINGTON AVE, HARTFORD, CT 06105-2907
(860) 523-9788
(860) 232-5049
Mailing address
474 QUAKER LN S, WEST HARTFORD, CT 06110-1021
(860) 232-2861
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000080
CT
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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