Individual provider · Type 1 NPI

Carolyn Jane Kildegaard, MA

Mental Health Counselor · Vineyard Haven, MA

NPI number 1669780870 Active

Practice location

111 Edgartown Road
Vineyard Haven, MA 02568

Call (508) 693-7900 Map

Mailing address

PO Box 1385
Edgartown, MA 02539-1385

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669780870

Carolyn Jane Kildegaard, MA's National Provider Identifier is 1669780870, issued on Sep 22, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vineyard Haven, MA. The record was last updated on Sep 22, 2010.