Individual
KRISTEN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
54 E RAMSDELL ST, NEW HAVEN, CT 06515-1140
(203) 781-4600
(203) 781-4624
Mailing address
474 DANIELS FARM RD, TRUMBULL, CT 06611-5531
(203) 535-2168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46.004300
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008042339
—
CT
05
—
008093910
—
CT
Enumeration date
03/09/2020
Last updated
07/09/2020
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