Individual
LARA KAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 STEAMBOAT RD APT 2B, GREENWICH, CT 06830-7103
(516) 241-9361
Mailing address
5 BUENA VISTA DR, GREENWICH, CT 06831-4210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
44.001226
CT
101YP2500X
Professional Counselor
Primary
46.003179
CT
221700000X
Art Therapist
001529
NY
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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