Individual
MS. KIONNA TYANN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 292-0187
Mailing address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 997-7751
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002781
CT
Other
Enumeration date
01/04/2010
Last updated
03/21/2023
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