Individual
EDWIN REXACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MAIN ST N, SUITE 725, SOUTHBURY, CT 06488-3840
(203) 681-1212
Mailing address
100 MAIN ST N, SUITE 725, SOUTHBURY, CT 06488-3840
(203) 681-1212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1006
CT
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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