Individual provider · Type 1 NPI
Joseph Gerard Conrad, LADC
Addiction (Substance Use Disorder) Counselor · New Preston, CT
NPI number
1497264014
Active
Practice location
17 Church Street
New Preston, CT 06777
Mailing address
17 Church St
New Preston, CT 06777-1502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 01212 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1497264014
Joseph Gerard Conrad, LADC's National Provider Identifier is 1497264014, issued on Sep 26, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Preston, CT. The record was last updated on Sep 26, 2017.