Organization
KRISTEN K WOLD LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN K WOLD LMFT (OWNER)
(860) 595-2890
Entity
Organization
Contact information
Practice address
304 MAIN ST STE 418, FARMINGTON, CT 06032-2985
(860) 595-2890
Mailing address
304 MAIN ST STE 418, FARMINGTON, CT 06032-2985
(860) 595-2890
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001744
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008060366
—
CT
Enumeration date
08/16/2017
Last updated
07/21/2022
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