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Individual

MS. ANGELA NELTRHOPP BECKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC,LADC

Contact information

Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000024
CT
101YP2500X
Professional Counselor
Primary
2249
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008051572
MEDICAID BECKERMAN
CT
Enumeration date
04/11/2007
Last updated
12/10/2016
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