Individual
KANIEKA SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 ASYLUM AVE, HARTFORD, CT 06105-2416
(860) 523-9788
Mailing address
505 BURNSIDE AVE, APT A9, EAST HARTFORD, CT 06108-3556
(860) 205-1070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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