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Individual

RENAY ANN GHANT-EATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
11 ELMER AVE, HAMDEN, CT 06514-4320
(203) 606-2456
(203) 389-7268
Mailing address
11 ELMER AVE, HAMDEN, CT 06514-4320
(203) 606-2456
(203) 389-7268

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000310
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000310
CADC
CT
Enumeration date
05/04/2007
Last updated
07/08/2007
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