Individual
CAROL ANNE BRACKONESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
38 BRIDGE ST., EAST WINDSOR, CT 06088-9679
(860) 292-1212
(860) 292-1671
Mailing address
38 BRIDGE ST., P.O. BOX 486, EAST WINDSOR, CT 06088-9679
(860) 292-1212
(860) 292-1671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000040
CT
1041C0700X
Clinical Social Worker
004216
CT
164W00000X
Licensed Practical Nurse
Primary
018594
CT
Other
Enumeration date
08/19/2006
Last updated
09/11/2025
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