Individual
DR. JUAN FARAONI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYA.D., LPC, LMHC
Contact information
Practice address
660 PROSPECT AVE STE 301, HARTFORD, CT 06105-4230
(860) 400-2428
Mailing address
115 EDGEMERE AVE, WEST HARTFORD, CT 06110-1003
(617) 908-1228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11153
MA
101YM0800X
Mental Health Counselor
MH20181
FL
101YP2500X
Professional Counselor
Primary
3078
CT
Other
Enumeration date
02/07/2017
Last updated
09/03/2024
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