Individual
STEPHANIE ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
25 LATHAM HILL RD, COLUMBIA, CT 06237-1409
(860) 416-3739
Mailing address
PO BOX 4, HEBRON, CT 06248-0004
(860) 416-3739
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1676
CT
Other
Enumeration date
02/15/2012
Last updated
12/08/2023
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