# JEAN RICHARD LADOUCEUR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrated Psychiatric Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427497882
- **Authorized official:** MR. JEAN RICHARD LADOUCEUR (OWNER)
- **Authorized official phone:** (860) 593-8373

## Contact information

- **Practice address:** 61 ARROW RD, WETHERSFIELD, CT 06109-1357
- **Practice address phone:** (860) 593-8373
- **Mailing address:** 39 CHESTNUT COURT, CROMWELL, CT 06457
- **Mailing address phone:** (860) 593-8373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2013
- **Last updated:** 11/13/2013