Organization
JEAN RICHARD LADOUCEUR
Active
Other names
Integrated Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN RICHARD LADOUCEUR (OWNER)
(860) 593-8373
Entity
Organization
Contact information
Practice address
61 ARROW RD, WETHERSFIELD, CT 06109-1357
(860) 593-8373
Mailing address
39 CHESTNUT COURT, CROMWELL, CT 06457
(860) 593-8373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2013
Last updated
11/13/2013
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