Individual
MARY ANN POWDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
693 BLOOMFIELD AVE, BLOOMFIELD, CT 06002-2489
(860) 243-6584
(860) 243-6591
Mailing address
693 BLOOMFIELD AVE, BLOOMFIELD, CT 06002-2489
(860) 243-6584
(860) 243-6591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002018
CT
Other
Enumeration date
07/08/2008
Last updated
01/31/2011
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