# KRISTEN K WOLD LMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720504251
- **Authorized official:** KRISTEN K WOLD LMFT (OWNER)
- **Authorized official phone:** (860) 595-2890

## Contact information

- **Practice address:** 304 MAIN ST STE 418, FARMINGTON, CT 06032-2985
- **Practice address phone:** (860) 595-2890
- **Mailing address:** 304 MAIN ST STE 418, FARMINGTON, CT 06032-2985
- **Mailing address phone:** (860) 595-2890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001744 | CT | Yes |

## Other

- **Enumeration date:** 08/16/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008060366 | — | CT |