Individual provider · Type 1 NPI
Kristen Birmingham, LADC
Addiction (Substance Use Disorder) Counselor · Waterbury, CT
NPI number
1699313593
Active
Practice location
276 Highland Ave
Waterbury, CT 06708-3022
Mailing address
46 Barbara Lane
Plantsville, CT 06479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000033 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1699313593
Kristen Birmingham, LADC's National Provider Identifier is 1699313593, issued on Dec 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterbury, CT. The record was last updated on Dec 11, 2019.