Individual
MR. ANDREW BECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
871 STATE ST, NEW HAVEN, CT 06511-3923
(203) 787-2111
(203) 397-9077
Mailing address
34 HILL AVE, WALLINGFORD, CT 06492-2247
(203) 284-9499
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-1530-SA
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329553
VALU OPT CHN CT SAGA
CO
01
—
B000698
DMHAS
CT
01
—
CTGA000525
DMHAS
CT
Enumeration date
12/20/2006
Last updated
07/09/2007
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