Individual
KRISTIN MARIE NISTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
55 WALLS DR STE 206, FAIRFIELD, CT 06824-5180
(203) 689-8989
Mailing address
37 SYLVAN DR, SHELTON, CT 06484-5508
(716) 289-2416
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4229
CT
Other
Enumeration date
02/07/2020
Last updated
04/26/2024
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