Individual
AMBER JEAN BONCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MAIN ST, SUITE 270, NORWICH, CT 06360-5760
(860) 885-6054
(860) 885-6062
Mailing address
55 MAIN ST, SUITE 270, NORWICH, CT 06360-5760
(860) 885-6054
(860) 885-6062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
01/18/2012
Last updated
03/01/2013
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