Individual
KATHLEEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1268 MAIN ST STE 204, NEWINGTON, CT 06111-3043
(860) 785-6222
Mailing address
1268 MAIN ST STE 204, NEWINGTON, CT 06111-3043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6531
CT
101YP2500X
Professional Counselor
Primary
8661
CT
Other
Enumeration date
06/28/2023
Last updated
01/12/2026
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