Individual
MR. KEVIN KASBARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LADC
Contact information
Practice address
60 PALMERS HILL RD, STAMFORD, CT 06902-2113
(203) 324-3167
Mailing address
41 HOPE ST, STAMFORD, CT 06906-2615
(203) 273-8262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1139
CT
104100000X
Social Worker
Primary
3479
CT
Other
Enumeration date
07/28/2015
Last updated
05/08/2017
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