Individual
MR. JOHN A PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
1825 BARNUM AVE, SUITE #304, STRATFORD, CT 06614-5333
(203) 375-5782
(203) 375-3048
Mailing address
2505 MAIN ST STE 231, STRATFORD, CT 06615-5839
(203) 375-5782
(203) 375-3048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000248
CT
1041C0700X
Clinical Social Worker
Primary
001606
CT
Other
Enumeration date
07/17/2006
Last updated
01/31/2017
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