| Doctor Name: | MRS. MARILYN CARLSON KAIN |
| NPI Number: | 1114023744 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC LADC |
| License Number: | LADC000053 |
| Business Practice Address: | 2 Old New Milford Rd Suite 2a Brookfield, CT - 068042426 |
| Business Phone Number: | 2037753282 |
| Business Fax Number: | 2037753282 |
| Mailing Address: | 2 Old New Milford Rd, Suite 2a Landmark Office Building BROOKFIELD |
| State: | CT |
| Postal Code: | 068042426 |
| Phone Number: | 2037753282 |
| Fax Number: | 2037753478 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LADC000053 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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 |