Individual
KEVIN J CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 BRAINARD RD, HARTFORD, CT 06114-2102
(860) 834-8765
(860) 761-7928
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 697-3351
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
10971
CT
Other
Enumeration date
08/28/2024
Last updated
06/11/2025
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