Individual
MR. ROGER EDWARD NILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
22 MOHAWK DR, UNIONVILLE, CT 06085-1443
(860) 673-5574
Mailing address
22 MOHAWK DR, UNIONVILLE, CT 06085-1443
(860) 673-5574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000502
CT
Other
Enumeration date
11/12/2008
Last updated
01/29/2014
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