Organization
LISA A. PRIBESH, LADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A PRIBESH LADC (ADDICTION SPECIALIST)
(203) 414-4526
Entity
Organization
Contact information
Practice address
60 KATONA DR STE 22, FAIRFIELD, CT 06824-3544
(203) 414-4526
Mailing address
PO BOX 130, FAIRFIELD, CT 06824-0130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000727
CT
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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