Most Relevant Information
Provider Data
| NPI Number: | 1003571118 |
| Provider Name: | KIANA SMITH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 7565 |
Most Important Dates
| Enumeration Date: | 11/03/2021 |
| Last Updated: | 08/05/2024 |
Provider Practice Location
530 MIDDLEBURY RD STE 201A
MIDDLEBURY
CT
067622546
Practice Location Phone/Fax
| Phone: | 2032048908 |
| Fax: | 2032427647 |
Provider Mailing Location
3 BYRON AVE
ANSONIA
CT
064011301
Provider Mailing Phone/Fax
| Phone: | 2036005475 |
| Fax: |