Individual provider · Type 1 NPI
Desrine Thomas, LDAC
Addiction (Substance Use Disorder) Counselor · West Haven, CT
NPI number
1164318788
Active
Practice location
5 Timberland Dr
West Haven, CT 06516-1161
Other practice locations
- 399 Mill Hill Ave, Bridgeport, CT 06610-2865 · (203) 384-9301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 001616 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164318788
Desrine Thomas, LDAC's National Provider Identifier is 1164318788, issued on Jun 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Haven, CT. The record was last updated on Jun 18, 2025.