Provider Demographics
NPI:1780121236
Name:MAHER, KIERSTEN (MA, LPC, ATR)
Entity type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:
Last Name:MAHER
Suffix:
Gender:F
Credentials:MA, LPC, ATR
Other - Prefix:
Other - First Name:KIERSTEN
Other - Middle Name:
Other - Last Name:RAUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:DANIELSON
Mailing Address - State:CT
Mailing Address - Zip Code:06239-3014
Mailing Address - Country:US
Mailing Address - Phone:860-774-0215
Mailing Address - Fax:
Practice Address - Street 1:70 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:DANIELSON
Practice Address - State:CT
Practice Address - Zip Code:06239-3014
Practice Address - Country:US
Practice Address - Phone:860-774-0215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health