Individual
KERRY LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
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
Primary
1079
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008050694
MEDICAID NUMBER (LAW)
CT
Enumeration date
04/17/2014
Last updated
01/06/2015
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