Individual
VIVIAN MORAES KANNEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4699 MAIN ST STE 210, BRIDGEPORT, CT 06606-1830
(203) 208-3940
Mailing address
4 LAKE PL N, DANBURY, CT 06810-7203
(240) 388-5838
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
003044
CT
106H00000X
Marriage & Family Therapist
2669
CT
Other
Enumeration date
09/05/2022
Last updated
03/30/2023
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