| Kristen K Wold Lmft Llc | |
|
304 Main St Ste 418 Farmington CT 06032-2985 | |
| (860) 595-2890 | |
| Not Available |
| Full Name | Kristen K Wold Lmft Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 304 Main St Ste 418, Farmington, Connecticut |
| Authorized Official Name and Position | Kristen K Wold (OWNER) |
| Authorized Official Contact | 8605952890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen K Wold Lmft Llc 304 Main St Ste 418 Farmington CT 06032-2985 Ph: (860) 595-2890 | Kristen K Wold Lmft Llc 304 Main St Ste 418 Farmington CT 06032-2985 Ph: (860) 595-2890 |
| NPI Number | 1720504251 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720504251 | NPI | - | NPPES |
| 008060366 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001744 (Connecticut) | Primary |
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