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Contact Information

KEVIN J CHAMPAGNE
207 BRAINARD RD
HARTFORD, CT06114-2102
 Phone: 860-834-8765
 Fax: 860-761-7928
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for KEVIN J CHAMPAGNE · (Male)

NPI Number 1114751690
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2024
Last updated 06/11/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 10971
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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