| Lisa A. Pribesh, Ladc | |
|
60 Katona Dr Ste 22 Fairfield CT 06824-3544 | |
| (203) 414-4526 | |
| Not Available |
| Full Name | Lisa A. Pribesh, Ladc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 60 Katona Dr Ste 22, Fairfield, Connecticut |
| Authorized Official Name and Position | Lisa A Pribesh (ADDICTION SPECIALIST) |
| Authorized Official Contact | 2034144526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A. Pribesh, Ladc Po Box 130 Fairfield CT 06824-0130 Ph: () - | Lisa A. Pribesh, Ladc 60 Katona Dr Ste 22 Fairfield CT 06824-3544 Ph: (203) 414-4526 |
| NPI Number | 1396269361 |
|---|---|
| Provider Enumeration Date | 08/01/2017 |
| Last Update Date | 08/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396269361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000727 (Connecticut) | Primary |
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