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Organization
JEAN RICHARD LADOUCEUR
Active
Organization
JEAN RICHARD LADOUCEUR
Active
Other names
Integrated Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN RICHARD LADOUCEUR (OWNER)
(860) 593-8373
Entity
Organization
Contact information
Practice address
61 ARROW RD, WETHERSFIELD, CT 06109-1357
(860) 593-8373
Mailing address
39 CHESTNUT COURT, CROMWELL, CT 06457
(860) 593-8373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
11/13/2013
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