Bray, Marie Elena

Bray, Marie Elena is an individual health care provider with primary practice located at 51 N Main Street Ste 1A, Southington CT 06489. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bray, Marie Elena can be contacted via phone (860) 637-0947.

Contact Information

Primary practice address
51 N Main Street Ste 1A Southington CT 06489
Phone: (860) 637-0947
Fax: (860) 276-8670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000795 Connecticut

Profile Details

NPI number 1497859607
LBN Legal business name Bray, Marie Elena
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497859607 NPPES
Connecticut Other 292739 MHN
Connecticut Other 410000795CT04 MHN
Connecticut Other 7470464 MHN

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