Organization
DIANE E, CASALAINA, MA, LADC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE ELENA CASALAINA L.A.D.C. (OWNER)
(203) 301-4660
Entity
Organization
Contact information
Practice address
31 CHERRY ST, SUITE 101, MILFORD, CT 06460-3465
(203) 301-4659
Mailing address
31 CHERRY ST, SUITE 101, MILFORD, CT 06460-3465
(203) 301-4659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000805
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001912
—
CT
01
—
300000805CT01
BLUE CROSS BLUE SHIELD ANTHEM
—
Enumeration date
09/21/2010
Last updated
09/21/2010
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