Individual
CHANANYA ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MS
Contact information
Practice address
32 HILLSIDE AVE, WATERBURY, CT 06710-2217
(203) 759-8007
Mailing address
24 HEWLETT ST, WATERBURY, CT 06710-1615
(203) 759-8007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
03/17/2018
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