Whitehead, Kionna Tyann

Whitehead, Kionna Tyann is an sole proprietor health care provider with primary practice located at 128 Garden St , Farmington CT 06032-2254. 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. Whitehead, Kionna Tyann can be contacted via phone (860) 292-0187.

Contact Information

Primary practice address
128 Garden St Farmington CT 06032-2254
Phone: (860) 292-0187
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 002781 Connecticut

Profile Details

NPI number 1568792174
LBN Legal business name Whitehead, Kionna Tyann
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2010
Last updated Mar 21st, 2023 - about last year

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.

Request for update

Popular Providers