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Individual

JAMEL W CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

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 STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008023170
CT
05
008024427
CT
05
008042339
CT
05
008096441
CT
Enumeration date
02/27/2015
Last updated
07/31/2020
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