Individual
ISABEL Q PENTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1353 GOLD STAR HWY, GROTON, CT 06340-2739
(860) 629-8270
(860) 445-0414
Mailing address
1353 GOLD STAR HWY, GROTON, CT 06340-2739
(860) 629-8270
(860) 445-0414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00752
CT
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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