Individual
MRS. MARILYN CARLSON KAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LADC
Contact information
Practice address
2 OLD NEW MILFORD RD, SUITE 2A, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3282
Mailing address
2 OLD NEW MILFORD RD, SUITE 2A LANDMARK OFFICE BUILDING, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LADC000053
CT
101Y00000X
Counselor
Primary
LPC000560
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158751
CIGNA
—
01
—
240000560CT01
LPC ANTHEM
—
01
—
300000053CT01
ANTHEM LADC
—
01
—
347934
MHN
—
Enumeration date
09/14/2006
Last updated
07/08/2007
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