Individual
KENDRA ELAINE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
41 S MAIN ST, NEW MILFORD, CT 06776-3507
(860) 740-2228
(860) 254-7256
Mailing address
41 S MAIN ST, NEW MILFORD, CT 06776-3507
(860) 740-2228
(860) 254-7256
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2677
CT
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598176018
MEDICAID
CT
Enumeration date
05/16/2018
Last updated
03/31/2023
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