Individual
LATIERA MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1183 N MAIN ST APT 1, WATERBURY, CT 06704-3115
(203) 565-9540
Mailing address
1183 N MAIN ST APT 1, WATERBURY, CT 06704-3115
(203) 565-9540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001385
CT
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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