Individual
THOMAS MICHAEL OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LADC
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5382
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000291
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
000242
CT
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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