Individual
JULIA TEITELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
100B DANBURY RD, SUITE 101, RIDGEFIELD, CT 06877
(203) 837-1001
Mailing address
18 BARNUM PL, RIDGEFIELD, CT 06877-1053
(480) 229-9223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60195232
WA
1041C0700X
Clinical Social Worker
Primary
009636
CT
1041C0700X
Clinical Social Worker
2014029523
MO
1041C0700X
Clinical Social Worker
SC 60167118
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/30/2012
Last updated
05/13/2025
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