Individual
MR. JOSE EDUARDO CREGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
969 W MAIN ST STE 1D, WATERBURY, CT 06708-2667
(203) 768-9808
Mailing address
969 WEST MAIN STREET SUITE 1D, WATERBURY, CT 06708
(203) 768-9808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
995
CT
1041C0700X
Clinical Social Worker
Primary
009093
CT
Other
Enumeration date
06/26/2012
Last updated
07/24/2015
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