Individual
KAITLYN TETREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
335 BROAD ST, MANCHESTER, CT 06040-4036
(860) 643-3210
Mailing address
473 HILLS ST, EAST HARTFORD, CT 06118-3048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/02/2020
Last updated
06/10/2024
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