Individual
ELAINE SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
62 GRANT ST, NEW HAVEN, CT 06519-2514
(203) 503-3350
(203) 503-3370
Mailing address
62 GRANT ST, NEW HAVEN, CT 06519-2514
(203) 503-3350
(203) 503-3370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1134
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
06/13/2012
Last updated
04/30/2015
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