A Wave Of Change | |
670 Main St S Woodbury CT 06798-3738 | |
(203) 263-3175 | |
Not Available |
Full Name | A Wave Of Change |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 670 Main St S, Woodbury, Connecticut |
Authorized Official Name and Position | Rosalie Anne Spinella (SUBSTANCE ABUSE RECOVERY COUNSELOR) |
Authorized Official Contact | 2034410689 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Wave Of Change Po Box 4034 Waterbury CT 06704-0034 Ph: () - | A Wave Of Change 670 Main St S Woodbury CT 06798-3738 Ph: (203) 263-3175 |
NPI Number | 1063187672 |
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Provider Enumeration Date | 08/16/2021 |
Last Update Date | 08/16/2021 |
Certification Date | 08/16/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063187672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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