Individual
MR. MAREK KUKULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
896 ASYLUM AVE, HARTFORD, CT 06105-1901
(860) 493-1841
Mailing address
34 WALTER DR, GRISWOLD, CT 06351-3539
(860) 376-5475
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000790
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467545251
—
CT
Enumeration date
01/31/2007
Last updated
02/25/2016
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