Individual
MISS KRISTIN M OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1294 CHAPEL ST, NEW HAVEN, CT 06511-4515
(203) 784-8704
Mailing address
110 MIDLAND AVE, STAMFORD, CT 06906-2328
(203) 570-3909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001037
CT
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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