Individual
HEATHER WAGNER SUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
772 W THAMES ST, NORWICH, CT 06360-7070
(860) 800-0244
(860) 885-0224
Mailing address
337 BENHAM RD, GROTON, CT 06340-5123
(860) 800-0244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0665
CT
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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