Individual
MS. KATHLEEN WILCOX SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LADC, CRC
Contact information
Practice address
91 S MAIN ST, WEST HARTFORD, CT 06107-2509
(860) 205-1066
(860) 521-8291
Mailing address
78 CLIFFMORE RD, WEST HARTFORD, CT 06107-1121
(860) 205-1066
(860) 521-8291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000302
CT
101YP2500X
Professional Counselor
Primary
001086
CT
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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