Individual
CHERYL VANASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
68 MAIN ST, WATERTOWN, CT 06795-2223
(401) 490-1753
Mailing address
68 MAIN ST, WATERTOWN, CT 06795-2223
(401) 490-1753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003298
CT
Other
Enumeration date
06/09/2016
Last updated
06/11/2019
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