Individual
MISS KIMBERLY S SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.A.D.C.
Contact information
Practice address
72 NORTH ST STE 202, DANBURY, CT 06810-5653
(203) 770-7269
(203) 426-5704
Mailing address
169171 LAKEVIEW TERRACE, SANDY HOOK, CT 06482
(203) 426-5704
(203) 426-5704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00290
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00290
LICENSED ALCOHOL AND DRUG
CT
01
—
300000290CT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
08/01/2006
Last updated
07/08/2007
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