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KAYLYN BANNING BS

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1689065013

Individual Registrant:
 KAYLYN  BANNING BS
Gender: F
Sole Proprietor

Location and contact information for practice:
255 HEMPSTEAD ST  NEW LONDON, CT 06320-6204 US
Tel: 860-443-2896  Fax: 860-442-5909

Contact information for business:
255 HEMPSTEAD ST  NEW LONDON, CT 06320-6204 US
Tel: 860-443-2896  Fax: 860-442-5909

Registration Information:
NPI: 1689065013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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