Individual
DEIRDRE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CCDP
Contact information
Practice address
95 HAMILTON ST, NEW HAVEN, CT 06511-5917
(203) 999-3903
Mailing address
PO BOX 26942, WEST HAVEN, CT 06516-0968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000736
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
06/06/2012
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