Individual
KRISTINE KUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
9 MOTT AVE, FAMILY & CHILDREN'S AGENCY 4TH FLOOR, NORWALK, CT 06850-3330
(203) 855-8765
(203) 838-3325
Mailing address
9 MOTT AVE, FAMILY & CHILDREN'S AGENCY 4TH FLOOR, NORWALK, CT 06850-3330
(203) 855-8765
(203) 838-3325
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000182
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300000182CT01
ANTHEM PROVIDER #
CT
Enumeration date
07/29/2006
Last updated
07/08/2007
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