Individual
KIRSTEN FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
225 N MAIN ST, BRISTOL, CT 06010-4926
(888) 793-3500
Mailing address
27 HIGHLAND AVE, WATERTOWN, CT 06795-2509
(203) 832-5736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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