Individual
KOLLETTIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
45 VALLEY RD, COS COB, CT 06807-2530
(203) 832-7024
Mailing address
372 DANBURY RD, WILTON, CT 06897-2548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
46.005903
CT
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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