Individual
MS. LEIDA ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
570 ELM ST, NEW HAVEN, CT 06511-4137
(203) 710-6882
Mailing address
570 ELM ST, NEW HAVEN, CT 06511-4137
(203) 710-6882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000779
CT
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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