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Amanda Jean Nowak, LPC
Professional Counselor in Putnam, Connecticut
NPI 1598178865

Amanda Jean Nowak is a Professional Counselor based in Putnam, CT and is specialized in Professional. Amanda Jean Nowak practices in Putnam, CT and has the professional credentials of LPC. The NPI Number for Amanda Jean Nowak is 1598178865 and holds a License No. 003392 (Connecticut).

The current practice location address for Amanda Jean Nowak is 134 Main St, Putnam, CT and can be reached out via phone at 860-926-0142 and via fax at 860-413-0919.

Location: 134 Main St, Putnam, CT, 06260-0633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598178865
Provider Name
Amanda Jean Nowak
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
134 Main St, Putnam, CT, 06260-0633
Phone Number
860-926-0142
Fax Number
860-413-0919
Provider Enumeration Date
06/04/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004040564 05 CT
institution
Provider Business Practice Location Address Details
Address
134 Main St
City
Putnam
State
Connecticut
Zip
06260-1920
Phone Number
860-926-0142
Fax Number
860-413-0919
person
Provider Business Mailing Address Details
Address
134 Main St
City
Putnam
State
Connecticut
Zip
06260-1920
Phone Number
860-926-0142
Fax Number
860-413-0919
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
003392 (Connecticut)
Definition
Definition to come...
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