Individual
MR. RICHARD WILLIAM MADWID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,LPC,LADC
Contact information
Practice address
153 GREENWOOD AVE, BETHEL, CT 06801-2559
(203) 449-2577
Mailing address
15 LINDBERG ST, BETHEL, CT 06801-2018
(203) 449-2577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000199
CT
101YM0800X
Mental Health Counselor
Primary
000273
CT
101YP2500X
Professional Counselor
000273
CT
Other
Enumeration date
10/13/2008
Last updated
03/20/2012
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