Individual
MRS. KIMBERLY O MARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
75 WEST ST, DANBURY, CT 06810-6528
(203) 885-4622
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
(203) 885-4622
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1798
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YP2500X
—
CT
Enumeration date
10/24/2012
Last updated
10/24/2012
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