Individual
MRS. KATHLEEN L MUSCOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
53 UNQUOWA PL, FAIRFIELD, CT 06824-5058
(203) 360-4647
Mailing address
53 UNQUOWA PL, FAIRFIELD, CT 06824-5058
(203) 360-4647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005324
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008108233
—
CT
Enumeration date
03/18/2019
Last updated
06/07/2022
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