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Individual

ANDREA GARERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
352 STATE ST, NORTH HAVEN, CT 06473-3108
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1196
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004082286
CT
05
008022626
CT
01
008064634
GARERI MEDICAID
CT
05
500000315
CT
Enumeration date
04/06/2016
Last updated
01/24/2022
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