Individual
AMY SEDGWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CCDP, SCPG
Contact information
Practice address
62 CARTER RD, KENT, CT 06757-0675
(860) 927-3772
(860) 927-1840
Mailing address
62 CARTER ROAD, KENT, CT 06757
(860) 927-3772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0862
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
SA- 0215
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004123840
—
CT
05
—
004257516
—
CT
05
—
008017939
—
CT
05
—
008031626
—
CT
Enumeration date
01/28/2010
Last updated
03/06/2020
About Stedi
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