Individual
CATHERINE SEVERINO-MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
326 HIGHLAND AVE, WATERBURY, CT 06708-3021
(860) 879-4767
Mailing address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(203) 802-3918
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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