Individual
MS. ELIZABETH BELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CASAC
Contact information
Practice address
15 MASON ST, DERBY, CT 06418-1420
(347) 761-4193
Mailing address
15 MASON ST, DERBY, CT 06418-1420
(347) 761-4193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001356
CT
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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