Organization
CONNECT AUTHENTICALLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MICHELLE GAEDEKE LMFT (OWNER)
(860) 322-6559
Entity
Organization
Contact information
Practice address
53 NEW BRITAIN AVE UNIT 1&2, ROCKY HILL, CT 06067-1175
(860) 322-6559
Mailing address
73 LAKE RD, PORTLAND, CT 06480-1364
(860) 322-6559
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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