Kervin, Stacie Leigh
Kervin, Stacie Leigh is an sole proprietor health care provider with primary practice located at 116 S Brooksvale Rd , Cheshire CT 06410-3512. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kervin, Stacie Leigh can be contacted via phone (757) 621-8865.Contact Information
Primary practice address
116 S Brooksvale Rd
Cheshire CT 06410-3512
Phone: (757) 621-8865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 001705 | Connecticut |
Profile Details
| NPI number | 1316101348 |
|---|---|
| LBN Legal business name | Kervin, Stacie Leigh |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2008 |
| Last updated | Jul 18th, 2008 - about 16 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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