Provider Demographics
NPI:1043645856
Name:D'AURIA, KIERSTEN (LMFT)
Entity Type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:
Last Name:D'AURIA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2351
Mailing Address - Country:US
Mailing Address - Phone:203-889-7777
Mailing Address - Fax:
Practice Address - Street 1:762 BOSTON POST RD FL 2
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-3047
Practice Address - Country:US
Practice Address - Phone:203-889-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001491106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist