Individual
MISS VIVIANA IRIS TORRES-CALCAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
360 MAIN ST STE 2D, MIDDLETOWN, CT 06457-3375
(186) 024-8604
(184) 426-4023
Mailing address
360 MAIN ST # 2D, MIDDLETOWN, CT 06457-3375
(203) 248-6102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46.005881
CT
221700000X
Art Therapist
22-290
CT
Other
Enumeration date
10/19/2022
Last updated
10/30/2023
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