Individual
KRISTEN BIRMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
276 HIGHLAND AVE, WATERBURY, CT 06708-3022
(860) 302-8671
Mailing address
46 BARBARA LANE, PLANTSVILLE, CT 06479
(860) 919-4815
(877) 346-8993
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000033
CT
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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