Individual
KARSTEN HULTQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
392 MERROW RD STE E, TOLLAND, CT 06084-3974
(860) 830-7838
Mailing address
392 MERROW RD STE E, TOLLAND, CT 06084-3974
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5785
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19242485
PRIVATE PRACTICE
CT
Enumeration date
02/13/2023
Last updated
02/13/2023
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