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1790557940
ADAM HEAVENRICH
WATERBURY, CT
NPI
1790557940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CT 6817)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
ADAM HEAVENRICH LPC-A
228 MEADOW ST STE 403
WATERBURY, CT 06702-1807
Phone number: 203-312-1533
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Mailing Address
ADAM HEAVENRICH LPC-A
144 CABLES AVE
WATERBURY, CT 06710-1603
Phone number: 203-695-3182
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