Individual
MS. VANESSA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC, CAC
Contact information
Practice address
192 S MAIN ST, MIDDLETOWN, CT 06457-3727
(860) 262-2932
Mailing address
192 S MAIN ST, MIDDLETOWN, CT 06457-3727
(860) 262-2932
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3193
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
1044
CT
Other
Enumeration date
11/09/2013
Last updated
03/12/2024
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