Provider Demographics
NPI:1720111081
Name:GARRITY, KARREN J (LPC)
Entity Type:Individual
Prefix:
First Name:KARREN
Middle Name:J
Last Name:GARRITY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:CT
Mailing Address - Zip Code:06757-1539
Mailing Address - Country:US
Mailing Address - Phone:860-927-1464
Mailing Address - Fax:
Practice Address - Street 1:39 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:CT
Practice Address - Zip Code:06757-1513
Practice Address - Country:US
Practice Address - Phone:860-927-1464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT454101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional