Individual
GEORGIA G HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCDP,CCS,CAC,NCACII
Contact information
Practice address
8 TITUS RD, BOX 560, WASHINGTON DEPOT, CT 06794-1517
(860) 868-0857
(860) 868-1288
Mailing address
8 TITUS RD, P.O. BOX 560, WASHINGTON DEPOT, CT 06794-1517
(860) 868-0857
(860) 868-1288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000322
CT
101YM0800X
Mental Health Counselor
000322
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000322
STATE OF CT DEPARTMENT OF PUBLIC HEALTH
CT
01
—
CAC-1410
CONNECTICUT CERTIFICATION BOARD
CT
01
—
CAC-4490
NEW YORK STATE OASAS
NY
01
—
CCDP-1410
CONNECTICUT CERTIFICATION BOARD
CT
01
—
CCS-1410
CONNECTICUT CERTIFICATION BOARD
CT
01
—
NCACII -004029
NAADAC
VA
Enumeration date
02/07/2007
Last updated
04/01/2009
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