Individual provider · Type 1 NPI
Michelene M. Longo, LADC
Addiction (Substance Use Disorder) Counselor · East Hartford, CT
NPI number
1104263284
Active
Practice location
991 Main St
East Hartford, CT 06108-2274
Fax (860) 528-3267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000834 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1104263284
Michelene M. Longo, LADC's National Provider Identifier is 1104263284, issued on May 29, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Hartford, CT. The record was last updated on May 29, 2013.