Individual
MR. PABLO VARELA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
645 FARMINGTON AVE, HARTFORD, CT 06105-2907
(860) 523-9788
Mailing address
200 BLAKESLEE ST, APT 12, BRISTOL, CT 06010-6338
(860) 794-5010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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