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Organization
PROVIDENT PROPERTIES LLC
Active
Organization
PROVIDENT PROPERTIES LLC
Active
Other names
Esteem Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ALLARD LPC (OWNER, THERAPIST)
(860) 215-2829
Entity
Organization
Contact information
Practice address
283 ROUTE 169, WOODSTOCK, CT 06281-0628
(860) 215-2829
Mailing address
PO BOX 623, WOODSTOCK, CT 06281-0623
(860) 215-2829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164870200
INDIVIDUAL NPI
—
Enumeration date
04/02/2019
Last updated
04/02/2019
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