Individual
CONCETTA MARIE CADELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
238 JEWETT AVE, BRIDGEPORT, CT 06606-2845
(203) 416-1311
(203) 373-0835
Mailing address
238 JEWETT AVE, BRIDGEPORT, CT 06606-2845
(203) 416-1311
(203) 373-0835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001759
CT
1041C0700X
Clinical Social Worker
Primary
001759
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040655
—
CT
Enumeration date
03/26/2007
Last updated
03/12/2012
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