Individual
JEFFREY GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
20 N MAIN ST STE 3, NORWALK, CT 06854-2720
(203) 838-6508
(203) 852-7021
Mailing address
20 N MAIN ST STE 3, NORWALK, CT 06854-2720
(203) 838-6508
(203) 852-7021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001122
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001122
CONNECTICUT DEPT PUBLIC HEALTH
CT
Enumeration date
11/28/2017
Last updated
11/28/2017
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