Individual
ANDRE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
66 ORCHARD ST, VERNON, CT 06066
(860) 508-9565
Mailing address
1007 FARMINGTON AVE STE 13, WEST HARTFORD, CT 06107-2107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
04/11/2020
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