Individual
KENNETH KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
203 HIGH ST, MILFORD, CT 06460-3250
(203) 874-6270
(203) 874-3301
Mailing address
203 HIGH ST, MILFORD, CT 06460-3250
(203) 874-6270
(203) 874-3301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000179
CT
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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