Individual
TERESSA LYNN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(203) 313-4054
Mailing address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(203) 313-4054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6264
CT
Other
Enumeration date
01/29/2021
Last updated
11/01/2024
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