Individual
KRISTIE L RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
40 DALE RD, AVON, CT 06001-3692
(860) 253-5020
(860) 253-5030
Mailing address
PO BOX 149, EAST WINDSOR, CT 06088-0149
(860) 372-5922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
001626
CT
Other
Enumeration date
05/10/2007
Last updated
05/22/2014
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