Individual
MS. STEPHANIE COLLEEN NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1169 ELLINGTON RD, ENHANCING BEHAVIORAL CHOICES, SOUTH WINDSOR, CT 06074-3515
(860) 289-4494
Mailing address
109 MOUNTAIN DR, SOUTH WINDSOR, CT 06074-3019
(734) 255-5950
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
04/27/2010
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