Individual
ANDREW BUCCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 MAIN ST, OFFICE 101, OLD SAYBROOK, CT 06475-2357
(860) 388-9656
Mailing address
26 SPRING ST, DEEP RIVER, CT 06417-1811
(860) 526-2716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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