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DR. JOSEPH GERARD CONRAD LADC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1497264014

Individual Registrant:
DR. JOSEPH GERARD CONRAD LADC
Gender: M
Sole Proprietor

Location and contact information for practice:
17 CHURCH STREET  NEW PRESTON, CT 06777 US
Tel: 203-528-7852  Fax: --

Contact information for business:
17 CHURCH ST  NEW PRESTON, CT 06777-1502 US
Tel: --  Fax: --

Registration Information:
NPI: 1497264014
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CT01212

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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