Imani A Vellom
NPI #1912633157 in Manchester, Connecticut
Provider Information
- NPI Number
- 1912633157
- Entity Type
- Individual
- Name
- Imani A Vellom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 29, 2022
- Last Updated
- Jul 29, 2022
Practice Location
- Address
- 444 CENTER ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-3926
- Phone
- (860) 646-3888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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