Individual provider · Type 1 NPI

Kelly Christine Dansereau

Mental Health Counselor · Hartford, CT

NPI number 1689088924 Active

Practice location

43 Woodland St, 4th Floor
Hartford, CT 06105-2363

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Marriage & Family Therapist 106H00000XNone listed

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About NPI 1689088924

Kelly Christine Dansereau's National Provider Identifier is 1689088924, issued on Jun 15, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hartford, CT. The record was last updated on Jun 15, 2014.