Individual
MR. ROBERT JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(860) 223-9291
(860) 223-3111
Mailing address
92 VINE ST, NEW BRITAIN, CT 06052-1433
(860) 223-9291
(860) 223-3111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CTGA000438 B000602
SAGA
CT
01
—
CTGA000438 B810006
SAGA
CT
Enumeration date
01/31/2007
Last updated
07/09/2007
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