Individual
KERRIE FISETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 444-4767
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 444-4767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5037
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4014679
—
CT
05
—
4024972
—
CT
Enumeration date
11/13/2006
Last updated
07/09/2007
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