Individual
KRISTEN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Mailing address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2016
Last updated
03/06/2026
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