Individual
MRS. JOANNE ETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
310 CREST RD, SOUTHINGTON, CT 06489-2866
(203) 631-5661
Mailing address
310 CREST RD, SOUTHINGTON, CT 06489-2866
(203) 631-5661
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002491
CT
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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