Individual
MS. KATHLEEN D RICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CAC
Contact information
Practice address
435 E MAIN ST, ANSONIA, CT 06401-1964
(203) 736-2601
(203) 736-2641
Mailing address
88 BRISTOL ST, WATERBURY, CT 06708-4927
(203) 736-2601
(203) 736-2641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC-4079
CT
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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