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Individual

MS. DOREEN MARIE KRUPP

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
1268 MAIN ST, SUITE 101, NEWINGTON, CT 06111-3038
(860) 559-6557
(860) 667-2408
Mailing address
7 PONDSIDE LN, ROCKY HILL, CT 06067-1146
(860) 529-8600
(860) 667-2408

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
00656
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300000656CT01
ANTHEM
CT
01
7794720
AETNA
TX
Enumeration date
02/25/2006
Last updated
09/11/2025
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