Kevin Hull

Individual provider Active NPI Mental Health Counselor · Suffield, CT

NPI 1194270439 · NPPES record last updated Aug 16, 2016

Key facts

NPI
1194270439
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
44 Poole Rd
Suffield, CT 06078-2016
Phone
(860) 463-8587
NPI assigned
Aug 16, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

44 Poole Rd
Suffield, CT 06078-2016

Mailing address

44 Poole Rd
Suffield, CT 06078-2016
Phone (860) 463-8587

Other providers in Suffield, CT

All providers in Suffield, CT · Mental Health Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.