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Individual

DIAMOND Y BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
21 GRAND ST, HARTFORD, CT 06106-1541
(860) 550-7500
Mailing address
55 GROVE ST APT 206, WINDSOR LOCKS, CT 06096-1878
(860) 913-6115

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8572
CT

Other

Enumeration date
11/06/2023
Last updated
06/26/2025
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