Individual
STEPHANIE VACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 PORTER ST, MANCHESTER, CT 06040-5423
(860) 593-9685
Mailing address
231 PORTER ST, MANCHESTER, CT 06040-5423
(860) 593-9685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
002328
CT
Other
Enumeration date
08/16/2019
Last updated
09/22/2021
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