Individual
DAVID JOHN DELANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED ADDICTIONS
Contact information
Practice address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 852-1071
Mailing address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 852-1071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5101
CT
Other
Enumeration date
01/17/2020
Last updated
01/22/2020
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