Individual
MICHELENE M LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
991 MAIN ST, EAST HARTFORD, CT 06108-2274
(860) 528-3238
(860) 528-3267
Mailing address
991 MAIN ST, EAST HARTFORD, CT 06108-2274
(860) 528-3238
(860) 528-3267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000834
CT
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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