Individual
MR. ALFRED LEVI GREENLEAF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 MAHEU ST, BRISTOL, CT 06010-3051
(860) 620-2674
(860) 584-4612
Mailing address
PO BOX 3032, BRISTOL, CT 06011-3032
(860) 620-2674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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