Individual
KEYANAH DEPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4675 MAIN ST, BRIDGEPORT, CT 06606-1813
(203) 372-3333
Mailing address
4675 MAIN ST, BRIDGEPORT, CT 06606-1813
(203) 373-3333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CT
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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