Individual
MRS. LORENA SOTO BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT., M.ED.
Contact information
Practice address
674 PROSPECT AVE STE 102, HARTFORD, CT 06105-4288
(860) 985-5215
Mailing address
4 SENECA RD, WEST HARTFORD, CT 06117-2245
(860) 985-5215
(860) 725-2539
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008098282
—
CT
Enumeration date
09/13/2010
Last updated
12/21/2020
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