Imani A Vellom
Imani A Vellom is a Mental Health Counselor in Manchester, Connecticut. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
444 Center StManchester, CT 06040-3926
Phone: (860) 646-3888
Fax: (860) 731-5536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1912633157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 29, 2022 |
| Last updated in NPPES | July 29, 2022 |
| Certification date | July 29, 2022 |
| Mailing address | 2 Waterside Xing Ste 401, Windsor, CT 06095-1588 |
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