Individual
MR. MARC EDWARD PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 761-7922
(860) 761-7928
Mailing address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 761-7922
(860) 761-7928
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
042-000792
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042-000792
CT STATE PUBLIC HEALTH LICENSE
CT
Enumeration date
04/08/2013
Last updated
04/08/2013
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