Individual
AUDREY ELBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
35 N MAIN ST STE 2H, SOUTHINGTON, CT 06489-2577
(203) 715-6115
(203) 718-6002
Mailing address
85 KENNEY ST APT B, BRISTOL, CT 06010-7019
(203) 715-6115
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2072
CT
Other
Enumeration date
01/14/2019
Last updated
01/05/2021
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