Individual
MS. KRISTINE FERNERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
77 LEGEND HILL RD, MADISON, CT 06443-1877
(860) 550-0503
Mailing address
77 LEGEND HILL RD, MADISON, CT 06443-1877
(860) 550-0503
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4079
CT
Other
Enumeration date
01/16/2020
Last updated
02/26/2020
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