Individual
MR. GEORGE J REHKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AS
Contact information
Practice address
141 E MAIN ST, WATERBURY, CT 06702
(203) 574-9000
(203) 574-9006
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1221
CT
101YP2500X
Professional Counselor
Primary
3366
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAC-5287
CONNECTICUT CERTIFICATION BOARD, INC
CT
01
—
CIT-5287
CONNECTICUT CERTIFICATION BOARD, INC.
CT
01
—
ICADC-5287
CONNECTICUT CERTIFICATION BOARD
CT
Enumeration date
06/21/2011
Last updated
07/28/2018
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