Individual provider · Type 1 NPI

Susan E. Waldman, LADC

Addiction (Substance Use Disorder) Counselor · Middletown, CT

NPI number 1629220256 Active

Practice location

79 Mill St
Middletown, CT 06457-4447

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000679 (CT)

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

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About NPI 1629220256

Susan E. Waldman, LADC's National Provider Identifier is 1629220256, issued on Oct 14, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Middletown, CT. The record was last updated on Oct 14, 2008.