Individual
DR. JOSEPH GERARD CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
17 CHURCH STREET, NEW PRESTON, CT 06777
(203) 528-7852
Mailing address
17 CHURCH ST, NEW PRESTON, CT 06777-1502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01212
CT
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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