Individual provider · Type 1 NPI
Stacie Leigh Kervin, LPC, NCC
Professional Counselor · Cheshire, CT
NPI number
1316101348
Active
Practice location
116 S Brooksvale Rd
Cheshire, CT 06410-3512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 001705 (CT) |
Professional Counselor: Definition to come...
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About NPI 1316101348
Stacie Leigh Kervin, LPC, NCC's National Provider Identifier is 1316101348, issued on Jul 18, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cheshire, CT. The record was last updated on Jul 18, 2008.