Smith, Kathleen Wilcox
Smith, Kathleen Wilcox is an sole proprietor health care provider with primary practice located at 91 S Main St , West Hartford CT 06107-2509. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith, Kathleen Wilcox can be contacted via phone (860) 205-1066.Contact Information
Primary practice address
91 S Main St
West Hartford CT 06107-2509
Phone: (860) 205-1066
Fax: (860) 521-8291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000302 | Connecticut |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001086 | Connecticut |
Profile Details
| NPI number | 1194917211 |
|---|---|
| LBN Legal business name | Smith, Kathleen Wilcox |
| Credentials | MS, LPC, LADC, CRC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Aug 13th, 2007 - about 19 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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