Individual
MISS ANASTASIA KYDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
111 EAST AVE, SUITE 313, NORWALK, CT 06851-5014
(203) 952-3082
Mailing address
111 EAST AVE., SUITE 313, NORWALK, CT 06851
(203) 952-3082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001772
CT
Other
Enumeration date
10/27/2009
Last updated
04/27/2010
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