Chabot, Kristin Leigh

Chabot, Kristin Leigh is an individual health care provider with primary practice located at 200 Retreat Ave , Hartford CT 06106-3309. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Chabot, Kristin Leigh can be contacted via phone (860) 696-0020.

Contact Information

Primary practice address
200 Retreat Ave Hartford CT 06106-3309
Phone: (860) 696-0020
Fax: (860) 437-4552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2460 Connecticut

Profile Details

NPI number 1407192859
LBN Legal business name Chabot, Kristin Leigh
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Oct 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407192859 NPPES
Connecticut MEDICAID 004040564

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