Individual provider · Type 1 NPI
Lisa Kim Diamond
Counselor · North Grosvenordale, CT
NPI number
1306646856
Active
Practice location
45 Bull Hill Rd
North Grosvenordale, CT 06255-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LSWA414220 (MA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1306646856
Lisa Kim Diamond's National Provider Identifier is 1306646856, issued on Mar 14, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in North Grosvenordale, CT. The record was last updated on Mar 14, 2025.