Audra Van Tassell
NPI #1285204602 in East Haven, Connecticut
Provider Information
- NPI Number
- 1285204602
- Entity Type
- Individual
- Name
- Audra Van Tassell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 28, 2021
- Last Updated
- Jun 28, 2021
Practice Location
- Address
- 64 THOMPSON ST # A-103104
- City
- East Haven
- State
- Connecticut
- ZIP Code
- 06513-5707
- Phone
- (203) 691-1685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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