Kathrine Lynn Clarke, LMFT
Individual provider Active NPI Marriage & Family Therapist · Mystic, CT
NPI 1821156589 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1821156589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 001298 (CT)
- Practice address
- 34 Water St Ste 2B
Mystic, CT 06355-2524 - Phone
- (860) 405-4855
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001298 | CT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001298 | CT | Yes |
Addresses
Primary practice location
34 Water St Ste 2B
Mystic, CT 06355-2524
Mailing address
4 Quail Meadow Mane
Gales Ferry, CT 06335
Phone (860) 405-4844
Other practice location 1
47 Town St
Norwich, CT 06360-2315
Phone (860) 892-7042
Other names
- Kathrine Kennedy
Other providers in Mystic, CT
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Sungsil Cho
- Katieanne P Christian
- Christopher Level Inc
- Jeannine Cleaver
- Coastal Chiropractic & Family Wellness Centre
- Coastal Dermatology, P.C.
- Connecticut CVS Pharmacy, L.L.C.
- Celine Conti
All providers in Mystic, CT · Marriage & Family Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.