Provident Properties LLC
NPI #1932661709 in Woodstock, Connecticut
Provider Information
- NPI Number
- 1932661709
- Entity Type
- Organization
- Organization Name
- Provident Properties LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Apr 2, 2019
- Last Updated
- Apr 2, 2019
Practice Location
- Address
- 283 ROUTE 169
- City
- Woodstock
- State
- Connecticut
- ZIP Code
- 06281-0628
- Phone
- (860) 215-2829
Authorized Official
- Name
- KRISTIN ALLARD, LPC
- Title
- OWNER, THERAPIST
- Phone
- (860) 215-2829
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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