Individual
KELLY S ANZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 346-0300
Mailing address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 346-0300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000785
CT
Other
Enumeration date
06/15/2009
Last updated
08/18/2024
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