Individual
MS. KACIAN LYNN FABISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21 HAZEL TER, NEW HAVEN, CT 06525-2209
(203) 410-2466
Mailing address
21 HAZEL TER, NEW HAVEN, CT 06525-2209
(203) 410-2466
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001783
CT
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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