Individual
KRISTA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 POMPERAUG OFFICE PARK STE 103, SOUTHBURY, CT 06488-2295
(203) 558-1143
Mailing address
85 AMOS WHITE RD, SOUTHBURY, CT 06488-2687
(203) 695-5890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7593
CT
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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