Individual
MRS. PAMELA AIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16 VINCENT RD, BRISTOL, CT 06010-3827
(860) 538-9957
Mailing address
16 VINCENT RD, BRISTOL, CT 06010-3827
(860) 538-9957
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004052015
—
CT
01
—
CTGA00000438 B000602
CT GENERAL ASSISTANCE
CT
Enumeration date
02/08/2007
Last updated
02/26/2016
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