Individual
HARRY A GEROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,LADC,CCS,CCDP
Contact information
Practice address
900 WATERTOWN AVE, WATERBURY, CT 06708-2011
(203) 756-8984
(203) 756-8984
Mailing address
900 WATERTOWN AVE, WATERBURY, CT 06708-2011
(203) 756-8984
(203) 756-8984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000118
CT
101YM0800X
Mental Health Counselor
000118
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000118
LICENSED ALCOHOL AND DRUG
CT
01
—
CAC - 588
CONNECTICUT CERTIFICATION BOARD
CT
01
—
CCDP - 4884
CONNECTICUT CERTIFICATION BOARD
CT
01
—
CCS - 588
CONNECTICUT CERTIFICATION BOARD
CT
Enumeration date
07/13/2007
Last updated
10/25/2013
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