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NPI Code Detail

MEDICARE: KRISTA MARIA CAPRISECCA LPC

MEDICARE: KRISTA MARIA CAPRISECCA LPC
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 Counselor9026CT

General Provider Information

NPI Number : 1609717248
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA MARIA CAPRISECCA LPC
Provider Business Mailing Address
First Line : 86 CENTERBROOK RD
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 93 EDWARDS ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-3986
Country : US
Telephone Number : 203-772-1270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ KRISTA MARIA CAPRISECCA LPC” Practice Location

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