Individual
MS. JOANN KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LPC
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5280
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000667
CT
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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