Kukulka, Marek

Kukulka, Marek is an individual health care provider with primary practice located at 896 Asylum Ave , Hartford CT 06105-1901. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Kukulka, Marek can be contacted via phone (860) 493-1841.

Contact Information

Primary practice address
896 Asylum Ave Hartford CT 06105-1901
Phone: (860) 493-1841
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 000790 Connecticut

Profile Details

NPI number 1518004241
LBN Legal business name Kukulka, Marek
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 25th, 2016 - about 10 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 1518004241 NPPES
Connecticut MEDICAID 1467545251

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