Individual
MS. KATHERINE WALWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,BA,LPC
Contact information
Practice address
20 ELM ST, UNIT 2, STONINGTON, CT 06378-1259
(860) 303-7166
Mailing address
58 RIVERS STREET, SUITE 10, MILFORD, CT 06460
(203) 693-1050
(203) 306-3388
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002867
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13863724
CAQH
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
Enumeration date
02/04/2016
Last updated
08/28/2017
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