Individual
KELLY LYNN VIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIFE COACH
Contact information
Practice address
24 RIVERFORD RD, BROOKFIELD, CT 06804-1316
(203) 512-1702
Mailing address
24 RIVERFORD RD, BROOKFIELD, CT 06804-1316
(203) 512-1702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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