Individual provider · Type 1 NPI

Imani A. Vellom

Mental Health Counselor · Manchester, CT

NPI number 1912633157 Active

Practice location

444 Center St
Manchester, CT 06040-3926

Call (860) 646-3888 Map

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912633157

Imani A. Vellom's National Provider Identifier is 1912633157, issued on Jul 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, CT. The record was last updated on Jul 29, 2022.