Individual provider · Type 1 NPI
Phouangmaly Phimvongsa, L.P.C
Counselor · Windsor Locks, CT
NPI number
1821156498
Active
Practice location
82 Main St
Windsor Locks, CT 06096-2325
Fax (860) 310-4235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 001470 (CT) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
About NPI 1821156498
Phouangmaly Phimvongsa, L.P.C's National Provider Identifier is 1821156498, issued on Dec 5, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Windsor Locks, CT. The record was last updated on Dec 19, 2019.