Individual
LAUREN DEPIETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 931-1184
(203) 931-0063
Mailing address
1460 ELM ST, STRATFORD, CT 06615-7062
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001322
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001322
STATE LICENSURE
CT
Enumeration date
02/13/2020
Last updated
02/13/2020
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