Doctor Name: | KRISTIN PLEINES |
NPI Number: | 1730423617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 008132 |
Business Practice Address: | 300 Church St Wallingford, CT - 064922253 |
Business Phone Number: | 2036790849 |
Business Fax Number: | 2032509918 |
Mailing Address: | 300 Church St, WALLINGFORD |
State: | CT |
Postal Code: | 064922253 |
Phone Number: | 2036790849 |
Fax Number: | 2032509918 |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 11/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 008132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |