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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDRA VAN TASSELL

Active Sole Proprietor

AUDRA VAN TASSELL is a Professional Counselor healthcare provider located in EAST HAVEN, Connecticut. NPI 1285204602 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · EAST HAVEN, CT

Registration Details

NPI Number
1285204602
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2021 (4.9483813664161 yrs)
Last Updated
Jun 28, 2021
License
4935 (CT)
Sole Proprietor
Yes

Practice Information

Address
64 THOMPSON ST # A-103104
EAST HAVEN, CT, 065135707
Browse CT providers · Browse ZIP 06513
Phone
2036911685
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in EAST HAVEN, CT

Name Credential NPI
MS. JOYCE D BELLIS MA, LPC 1467495499
MS. SUSANNE E DAVIS MS LPC 1346326840
MS. MARYJANE SPERANZA LPC 1114120276
MRS. JENNIFER M CHASE ATR-BC, LPC 1760665020
MS. DANA SHOENTHAL LPC 1538579941
LAURIE FAND LPC 1497111587
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.