Organization
J CREGO LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE EDUARDO CREGO LCSW, LADC (MEMBER)
(203) 768-9808
Entity
Organization
Contact information
Practice address
262 MARLBOROUGH ST STE 206, PORTLAND, CT 06480-1901
(203) 768-9808
Mailing address
40 SUNRISE LN, EAST HAMPTON, CT 06424-1466
(203) 768-9808
(203) 768-9808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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