Individual
AMANDA E ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 WHITING ST, NEW BRITAIN, CT 06051-3183
(860) 827-3313
(860) 827-3317
Mailing address
13 N MAPLE ST APT B, ENFIELD, CT 06082-4661
(203) 610-2934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
004783
CT
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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