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KATHLEEN DENISE BARTKUS LCSW
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1629335666
Individual Registrant: KATHLEEN DENISE BARTKUS LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
416 HIGHLAND AVE CHESHIRE, CT 06410-2527 US
Tel: 203-599-1492 Fax: --
Tel: 203-599-1492 Fax: --
Contact information for business:
141 E MAIN ST WATERBURY, CT 06702-2310 US
Tel: 203-598-1297 Fax: --
Tel: 203-598-1297 Fax: --
Registration Information:
NPI: 1629335666
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | ||
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | CT | 10760 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
