Individual
ANEELA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1457 NORTH ST, SUFFIELD, CT 06078-1115
(860) 778-4701
Mailing address
1457 NORTH ST, SUFFIELD, CT 06078-1115
(860) 778-4701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46.005171
CT
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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