Individual provider · Type 1 NPI
Kelly Lynn Ducharme
Mental Health Counselor · Manchester, CT
NPI number
1205084696
Active
Practice location
91 Elm St, Apt 227A
Manchester, CT 06040-8625
Mailing address
91 Northwest Dr
Plainville, CT 06062-1534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1205084696
Kelly Lynn Ducharme's National Provider Identifier is 1205084696, issued on Aug 28, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, CT. The record was last updated on Aug 28, 2008.