Individual
KIRSTEN MEGAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 793-3500
Mailing address
489 BUCKLAND DR, CHESHIRE, CT 06410-4147
(203) 687-6855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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