Individual provider · Type 1 NPI

Maria Iwona Herasimowicz

Addiction (Substance Use Disorder) Counselor · Hartford, CT

NPI number 1467712653 Active

Practice location

16 Coventry St
Hartford, CT 06112-1524

Call (860) 714-3704 Map

Mailing address

500 Blue Hills Ave
Hartford, CT 06112-1500

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000946 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1467712653

Maria Iwona Herasimowicz's National Provider Identifier is 1467712653, issued on May 21, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hartford, CT. The record was last updated on May 21, 2012.