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Provider Information for 1922515055


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CHRISTINA CHYKIRDA LPC


Sex: Female

NPI: 1922515055
Last Updated: 2020-08-07
Certification Date: 2020-08-07

Details

NameValue
NPI1922515055
Enumeration Date2018-01-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 41 CARILLON DR APT D
ROCKY HILL, CT 06067-2541
United States

Phone: 860-490-6283 | Fax:
 
Primary Practice Address 150 N MAIN ST
MANCHESTER, CT 06042-2086
United States

Phone: 860-533-3434 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalCT004112