Individual
MS. BARBARA A GOTAY MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
931 BANK ST, NEW LONDON, CT 06320-2702
(860) 447-2233
(860) 447-2669
Mailing address
931 BANK ST, NEW LONDON, CT 06320-2702
(860) 447-2233
(860) 447-2669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000999
CT
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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