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NPI Code Detail

MEDICARE: MS. KELLY ANNE FRANCOEUR M.A., L.P.C.

MEDICARE: MS. KELLY ANNE FRANCOEUR M.A., L.P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor001664CT

General Provider Information

NPI Number : 1104918044
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELLY ANNE FRANCOEUR M.A., L.P.C.
Provider Business Mailing Address
First Line : 176 SOUTHMAYD RD
Second Line :
City : WATERBURY
State : CT
Zip : 06705-2035
Country : US
Telephone Number : 203-980-8447
Fax Number :
Provider Business Practice Location Address
First Line : 75 WEST ST
Second Line :
City : DANBURY
State : CT
Zip : 06810-6528
Country : US
Telephone Number : 203-748-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 09/08/2022

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