Individual
CHARLES CORETTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007239
CT
1041C0700X
Clinical Social Worker
Primary
007239
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008003522
—
CT
Enumeration date
03/26/2007
Last updated
06/15/2023
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