Individual
MS. LISA MARIE BESEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
335 BROAD ST, MANCHESTER, CT 06040-4036
(860) 643-3210
(860) 643-3211
Mailing address
57 PETERS CIR, SOUTHINGTON, CT 06489-3714
(203) 848-8849
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1564
CT
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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