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Individual

ADRIENNE I CAPONERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CASAC

Contact information

Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(206) 748-2632
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2632

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000939
CT
251S00000X
Community/Behavioral Health Agency
17215
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004123840
CT
Enumeration date
01/24/2008
Last updated
12/29/2011
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