Individual
AURIVELLISE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N MAIN ST STE 317, WEST HARTFORD, CT 06117-2508
(860) 888-3686
Mailing address
46 MOUNTAIN ST, HARTFORD, CT 06106-4239
(860) 888-3686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6556
CT
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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