Individual
DOUGLAS WILLIAM ROBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DARC, RCP
Contact information
Practice address
14 VILLAGE RD, MILFORD, CT 06460-8059
(203) 843-4143
Mailing address
14 VILLAGE RD, MILFORD, CT 06460-8059
(203) 843-4143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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