Organization
LEARNING TO LIVE LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA GARNETT LADC (CHIEF EXECUTIVE OFFICER)
(860) 883-7062
Entity
Organization
Contact information
Practice address
182 GRAND ST, SUITE 420-422, WATERBURY, CT 06702-1914
(203) 528-3054
Mailing address
182 GRAND ST, SUITE 420-422, WATERBURY, CT 06702-1914
(203) 528-3054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000695
CT
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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