Individual
THOMAS REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPC
Contact information
Practice address
30 HAZEL TERRACE, SUITE 11, WOODBRIDGE, CT 06525-2209
(203) 819-7650
Mailing address
30 HAZEL TER STE 11, WOODBRIDGE, CT 06525-2240
(203) 819-7650
(203) 298-9487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000951
CT
101YM0800X
Mental Health Counselor
002448
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008038188
—
CT
05
—
008042339
—
CT
Enumeration date
12/12/2011
Last updated
12/10/2025
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