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Individual

MS. LISA HINDA COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC, MS

Contact information

Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2632
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2632

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000350
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004123840
CT
05
004257516
CT
05
008017939
CT
05
008031626
CT
01
1174607253
MCCA NPI
CT
Enumeration date
12/15/2011
Last updated
04/06/2012
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