Individual
KIMBERLY TEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 JEROME AVE UNIT 340, BLOOMFIELD, CT 06002-4527
(203) 903-7452
Mailing address
20 JEROME AVE UNIT 340, BLOOMFIELD, CT 06002-4527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC10000286
MA
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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