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Individual

KETHLENE FELICANTORRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1854 BARNUM AVENUE, BRIDGEPORT, CT 06604
(203) 685-8509
Mailing address
334 PECK AVE, WEST HAVEN, CT 06516-5415
(203) 685-8509

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11042
CT

Other

Enumeration date
11/10/2025
Last updated
11/10/2025
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