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MS. LEIDA ACEVEDO LADC

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

Registrant NPI Number: 1396081980

Individual Registrant:
MS. LEIDA  ACEVEDO LADC
Gender: F
Sole Proprietor

Location and contact information for practice:
570 ELM ST  NEW HAVEN, CT 06511-4137 US
Tel: 203-710-6882  Fax: --

Contact information for business:
570 ELM ST  NEW HAVEN, CT 06511-4137 US
Tel: 203-710-6882  Fax: --

Registration Information:
NPI: 1396081980
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CT000779

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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