Individual
MRS. BETTY DOSSANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2400 MAIN ST, BRIDGEPORT, CT 06606-5323
(203) 362-3900
(203) 362-3919
Mailing address
2400 MAIN ST, BRIDGEPORT, CT 06606-5323
(203) 362-3900
(203) 362-3919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001219
CT
Other
Enumeration date
09/12/2018
Last updated
04/22/2020
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