Individual
KRISTY RANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 MILE COMMON RD, EASTON, CT 06612-1506
(203) 526-3215
Mailing address
570 BLACK ROCK TPKE, FAIRFIELD, CT 06825-4744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010240
CT
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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