person
Mrs. Samantha Anne Boutin
Professional Counselor in West Hartford, Connecticut
NPI 1568007367

Samantha Anne Boutin is a Professional Counselor based in West Hartford, CT and is specialized in Professional. Samantha Anne Boutin practices in West Hartford, CT. The NPI Number for Samantha Anne Boutin is 1568007367 and holds a License No. 46.003996 (Connecticut).

The current practice location address for Samantha Anne Boutin is 10 N Main St Ste 305, West Hartford, CT and can be reached out via phone at 203-240-7075.

Location: 10 N Main St Ste 305, West Hartford, CT, 06107-1901
person
Provider Profile Details
NPI Number
1568007367
Provider Name
Samantha Anne Boutin
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 N Main St Ste 305, West Hartford, CT, 06107-1901
Phone Number
203-240-7075
Fax Number
Provider Enumeration Date
11/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 N Main St Ste 305
City
State
Zip
06107-1901
Phone Number
203-240-7075
Fax Number
person
Provider Business Mailing Address Details
Address
10 N Main St Ste 305
City
State
Zip
06107-1901
Phone Number
203-240-7075
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
46.003996 (Connecticut)
Definition
Definition to come...
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