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Individual

MS. MICHELLE LYNN ZARUCHA BUSCARELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 778-3884
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 778-3884

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000344
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
SA-0125
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004123840
CT
Enumeration date
01/11/2012
Last updated
01/12/2012
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