Individual
MR. MAXIMILIANO SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 WINTHROP ST, NEW BRITAIN, CT 06052-1728
(860) 224-8192
Mailing address
35 RUSSELL ST, NEW BRITAIN, CT 06052-1312
(860) 229-8887
(860) 229-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC 23841
CT
101YM0800X
Mental Health Counselor
SCCD 1201
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174624423
CMHA FACILITY NPI
CT
05
—
1942393814
—
CT
Enumeration date
02/18/2007
Last updated
09/11/2025
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