Individual
AYANNA K HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
883 PADDOCK AVENUE, RUSHFORD CENTER INC, MERIDEN, CT 06450-7021
(203) 630-5280
Mailing address
883 PADDOCK AVENUE, RUSHFORD CENTER, INC, MERIDEN, CT 06450-7021
(203) 630-5280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
011152
CT
Other
Enumeration date
03/17/2019
Last updated
01/28/2021
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