Individual
MR. MICHAEL DUTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,LADC
Contact information
Practice address
230 FROST RD, WATERBURY, CT 06705-2154
(203) 819-0789
Mailing address
230 FROST RD, WATERBURY, CT 06705-2154
(203) 819-0789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000844
CT
101YP2500X
Professional Counselor
Primary
002151
CT
Other
Enumeration date
09/30/2010
Last updated
04/12/2017
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