Organization
KACIAN FABISH LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KACIAN FABISH LPC (SOLE PROPEITIER)
(203) 308-9651
Entity
Organization
Contact information
Practice address
60 CONNOLLY PKWY, BLDG 2A SUITE 212, HAMDEN, CT 06514-2593
(203) 308-9651
Mailing address
60 CONNOLLY PKWY, BLDG 2A SUITE 212, HAMDEN, CT 06514-2593
(203) 308-9651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001783
CT
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/28/2014
Last updated
11/30/2015
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