Individual
CRISTAL HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
843 MAIN ST, MANCHESTER, CT 06040-6020
(203) 452-1113
Mailing address
843 MAIN ST, MANCHESTER, CT 06040-6020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003587
CT
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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