Individual
MR. JOHN T GILLEESE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
RECOVERY TWELVE SOLUTIONS, 155 MONTAUK AVE, NEW LONDON, CT 06320
(860) 389-4324
Mailing address
155 MONTAUK AVE, NEW LONDON, CT 06320
(860) 389-4327
(860) 574-9676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000928
CT
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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