Organization
KM COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE CULLEN (MEDICAL BILLING MANAGER)
(203) 368-5515
Entity
Organization
Contact information
Practice address
324 ELM ST STE 204B, MONROE, CT 06468-2284
(475) 882-8712
Mailing address
324 ELM ST STE 204B, MONROE, CT 06468-2284
(475) 882-8712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
07/09/2019
Last updated
07/09/2019
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