Individual
MRS. AMY MICHELLE MOURABIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 ALBANY AVE, HARTFORD, CT 06120-2508
(860) 249-9625
Mailing address
25 BROWNSTONE RD, BERLIN, CT 06037-1646
(860) 357-4743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001574
CT
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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