Individual
PAUL AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
17 SILVER LAKES DR, DARIEN, CT 06820-4815
(203) 219-5133
Mailing address
17 SILVER LAKES DR, DARIEN, CT 06820-4815
(203) 219-5133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000863
CT
101YM0800X
Mental Health Counselor
Primary
000863
CT
Other
Enumeration date
01/25/2012
Last updated
02/17/2023
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