Individual
ERIC VIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 HAYNES ST, SUITE 1412, MANCHESTER, CT 06040-4131
(860) 647-6832
(860) 647-6831
Mailing address
150 N MAIN ST, SUITE 130, MANCHESTER, CT 06042-2086
(860) 533-3434
(860) 647-6829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1115
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004025177
—
CT
Enumeration date
12/29/2014
Last updated
12/29/2014
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