Provider Demographics
NPI:1558389486
Name:APRAME, TOMICHAN P (LPC)
Entity Type:Individual
Prefix:MR
First Name:TOMICHAN
Middle Name:P
Last Name:APRAME
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:TOMY
Other - Middle Name:
Other - Last Name:APRAME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2505 MAIN ST STE 208
Mailing Address - Street 2:STRATFORD
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-5813
Mailing Address - Country:US
Mailing Address - Phone:203-386-0364
Mailing Address - Fax:
Practice Address - Street 1:2505 MAIN ST STE 208
Practice Address - Street 2:STRATFORD
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-5813
Practice Address - Country:US
Practice Address - Phone:203-386-0364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001303OtherPROFESSIONAL LICENSE