Individual
CORINNE KINGDOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100B DANBURY RD, RIDGEFIELD, CT 06877-4110
(203) 241-1363
Mailing address
488 N SALEM RD, RIDGEFIELD, CT 06877-2424
(203) 241-1363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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