Individual
ADAM HEAVENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
228 MEADOW ST STE 403, WATERBURY, CT 06702-1807
(203) 312-1533
Mailing address
144 CABLES AVE, WATERBURY, CT 06710-1603
(203) 695-3182
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6817
CT
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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