Individual
DALE KESTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 N MAIN ST STE 3, NORWALK, CT 06854-2720
(203) 838-6508
Mailing address
20 N MAIN ST STE 3, NORWALK, CT 06854-2720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000509
CT
104100000X
Social Worker
Primary
003550
CT
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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