Organization
PROVIDENT PROPERTIES LLC
Active
Other names
Esteem Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN ALLARD LPC (OWNER, THERAPIST)
(860) 215-2829
Entity
Organization
Contact information
Practice address
283 ROUTE 169, WOODSTOCK, CT 06281-0628
(860) 215-2829
Mailing address
PO BOX 623, WOODSTOCK, CT 06281-0623
(860) 215-2829
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164870200
INDIVIDUAL NPI
—
Enumeration date
04/02/2019
Last updated
04/02/2019
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