Individual provider · Type 1 NPI
Doug Gruber, LADC
Addiction (Substance Use Disorder) Counselor · Waterbury, CT
NPI number
1992076780
Active
Practice location
466 W Main St
Waterbury, CT 06702-1123
Fax (203) 591-8586
Mailing address
350 Fairfield Ave, Suite 701
Bridgeport, CT 06604-6014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000395 (CT) |
| Mental Health Counselor | 101YM0800X | 000395 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1992076780
Doug Gruber, LADC's National Provider Identifier is 1992076780, issued on Jan 25, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterbury, CT. The record was last updated on Jan 25, 2012.