Individual
DENISE GROUMOUSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 WHALLEY AVE, NEW HAVEN, CT 06511-3019
(203) 285-6475
Mailing address
315 S CHERRY ST, WALLINGFORD, CT 06492-4417
(203) 213-4453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174607253
MASTERS DEGREE
CT
Enumeration date
03/06/2019
Last updated
03/06/2019
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