Individual
DEBORAH C. KOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPC
Contact information
Practice address
675 TOWER AVE, SUITE308, HARTFORD, CT 06112-1260
(860) 714-9200
(860) 714-8516
Mailing address
555 WINDSOR ST, HARTFORD, CT 06120-2418
(860) 560-5600
(860) 527-3305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000529
CT
101YP2500X
Professional Counselor
000992
CT
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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