Individual
STACY BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
60 BEAVER BROOK RD, DANBURY, CT 06810-6239
(203) 743-7574
Mailing address
60 BEAVER BROOK RD, DANBURY, CT 06810-6239
(203) 743-7574
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001190
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001190
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
03/09/2016
Last updated
03/09/2016
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