Kyle Smith
Counselor in East Hartford, CT. Individual provider (NPI-1).
NPI number1508322017
StatusActive
Last updated in NPPESFeb 20, 2019
Details
- NPI
- 1508322017
- Entity type
- Individual (NPI-1)
- Name
- Kyle Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2019
- Last updated
- Feb 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
474r School StEast Hartford, CT 06108-1149
Phone 860-731-8811 · Fax 860-731-8813
Mailing address
995 Day Hill RdWindsor, CT 06095-1722
Phone 860-697-3351 · Fax 860-731-5536
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