Individual
MS. KRISTINE A WEIDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 STATE ST, NORTH HAVEN, CT 06473-2207
(518) 466-4408
Mailing address
200 STATE ST, NORTH HAVEN, CT 06473-2207
(518) 466-4408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010161
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313547
UNITED BEHAVIORAL HEALTH
NY
01
—
549454
VALUE OPTIONS
NY
Enumeration date
06/12/2006
Last updated
04/14/2025
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