Individual
MS. MARIE COURTEMANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC,CAC,SCCD
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 755-1147
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CAC-SCCD 4441
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
000563
CT
101YP2500X
Professional Counselor
Primary
3542
CT
Other
Enumeration date
03/26/2007
Last updated
11/26/2024
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