Individual provider · Type 1 NPI
Richard Irvin Closs Sr., LADC
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1457523409
Active
Practice location
1046 Fairfield Avenue
Bridgeport, CT 06605-1116
Fax (203) 331-4716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000902 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1457523409
Richard Irvin Closs Sr., LADC's National Provider Identifier is 1457523409, issued on Mar 31, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Sep 23, 2011.