Organization
FAIRFIELD COUNTY CHILD AND ADOLESCENT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MARIE PECK (LPC THERAPIST)
(203) 260-1918
Entity
Organization
Contact information
Practice address
34 SHERMAN CT, FAIRFIELD, CT 06824-5826
(203) 260-1918
Mailing address
102 WHEELER RD, MONROE, CT 06468-2428
(203) 260-1918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2603
CT
Other
Enumeration date
09/05/2014
Last updated
09/06/2014
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