Individual
MR. CHARLES A DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS/LADC
Contact information
Practice address
345 MAIN ST, HARTFORD, CT 06106-1824
(860) 525-2181
(860) 525-7332
Mailing address
205 E MOUNTAIN RD, WATERBURY, CT 06706-2816
(203) 759-7165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000927
CT
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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