Individual provider · Type 1 NPI
Audra Van Tassell
Professional Counselor · East Haven, CT
NPI number
1285204602
Active
Practice location
64 Thompson St # A-103104
East Haven, CT 06513-5707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4935 (CT) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1285204602
Audra Van Tassell's National Provider Identifier is 1285204602, issued on Jun 28, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Haven, CT. The record was last updated on Jun 28, 2021.