Individual
EDWARD URETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 MAIN STREET EXT, MIDDLETOWN, CT 06457-4470
(860) 343-5304
(860) 343-5307
Mailing address
222 MAIN STREET EXT, PO BOX 1000, MIDDLETOWN, CT 06457-4470
(860) 343-5304
(860) 343-5307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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