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Individual

KATELYN LEE KONING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
238 JEWETT AVE, BRIDGEPORT, CT 06606-2845
(203) 372-4301
(203) 373-0835
Mailing address
238 JEWETT AVE, BRIDGEPORT, CT 06606-2845
(203) 372-4301
(203) 373-0835

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002073
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004040655
CT
Enumeration date
06/29/2011
Last updated
09/11/2020
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