Individual
CAROL WINSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MYROCK AVE, WATERFORD, CT 06385-3008
(860) 287-7203
Mailing address
83 BOSTON POST RD, WATERFORD, CT 06385-2423
(860) 287-7203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000838
CT
101YM0800X
Mental Health Counselor
Primary
000676
CT
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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