Individual
STEPHANIE KAREN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
66 CEDAR ST STE 204, NEWINGTON, CT 06111-2655
(860) 665-0200
(860) 540-1609
Mailing address
66 CEDAR ST STE 204, NEWINGTON, CT 06111-2655
(860) 716-9592
(860) 540-1609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5436
CT
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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