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Individual

ALEX WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
54 E RAMSDELL ST, NEW HAVEN, CT 06515-1140
(203) 337-9943
(203) 387-6533
Mailing address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1426
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008023170
CT
05
008024427
CT
05
008039745
CT
05
008042339
CT
Enumeration date
09/13/2021
Last updated
10/12/2021
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