Individual
KAREN BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT, HARTFORD, CT 06106-3310
(860) 545-7061
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000030
CT
Other
Enumeration date
08/29/2006
Last updated
07/14/2009
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