Individual provider · Type 1 NPI

Lisa Tedesco, LADC

Addiction (Substance Use Disorder) Counselor · Ellington, CT

NPI number 1699093716 Active

Practice location

99 Stafford Rd Ste B-1
Ellington, CT 06029-2834

Mailing address

208 Flynn Ave, Suite 3J
Burlington, VT 05401-5429

Other practice locations

  • 11 Dog Hill Rd, Dayville, CT 06241-2106 · (860) 779-0321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X000347 (VT)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X667 (CT)

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

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About NPI 1699093716

Lisa Tedesco, LADC's National Provider Identifier is 1699093716, issued on May 13, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ellington, CT. The record was last updated on Sep 29, 2021.