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Phouangmaly Phimvongsa, LPC
Counselor in Windsor Locks, Connecticut
NPI 1821156498

Phouangmaly Phimvongsa is a Counselor based in Windsor Locks, CT. Phouangmaly Phimvongsa practices in Windsor Locks, CT and has the professional credentials of LPC. The NPI Number for Phouangmaly Phimvongsa is 1821156498 and holds a License No. 001470 (Connecticut).

The current practice location address for Phouangmaly Phimvongsa is 82 Main St, Windsor Locks, CT and can be reached out via phone at 860-254-5127 and via fax at 860-310-4235.

Location: 82 Main St, Windsor Locks, CT, 06096-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821156498
Provider Name
Phouangmaly Phimvongsa
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
82 Main St, Windsor Locks, CT, 06096-2325
Phone Number
860-254-5127
Fax Number
860-310-4235
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004257053 05 CT
institution
Provider Business Practice Location Address Details
Address
82 Main St
City
Windsor Locks
State
Connecticut
Zip
06096-2325
Phone Number
860-254-5127
Fax Number
860-310-4235
person
Provider Business Mailing Address Details
Address
82 Main St
City
Windsor Locks
State
Connecticut
Zip
06096-2325
Phone Number
860-254-5127
Fax Number
860-310-4235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
001470 (Connecticut)
Definition
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.
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