Individual
MRS. CATERINA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC,LMSW, MSW,BA
Contact information
Practice address
30 PECK RD STE 2203, TORRINGTON CLINICAL SERVICES, TORRINGTON, CT 06790-6123
(860) 626-7007
(860) 626-7014
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000864
CT
104100000X
Social Worker
Primary
1419
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008037438
—
CT
01
—
12715953
CAQH
CT
Enumeration date
05/20/2009
Last updated
08/20/2016
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