Individual
MARK R BOROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT,LADC, MA,BS
Contact information
Practice address
400 COLUMBUS AVENUE, ADULT PSYCHIATRIC CLINIC, NEW HAVEN, CT 06519-1233
(203) 503-3075
(203) 503-3296
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1194
CT
106H00000X
Marriage & Family Therapist
Primary
1951
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008065074
—
CT
01
—
060669107
HEALTHYCT WELLMORE GRP/FACILITY
CT
01
—
10450310 402 E MAIN
BEACON HEALTH STRATEGIES
CT
01
—
13823195
CAQH
CT
01
—
CAC-6129
CCB-CERTIFIED ADDICTION COUNSELOR
CT
01
—
ICADC-6129
CCB- INTERNATIONALLY CERTIFIED ADDICTION COUNSELOR
CT
01
—
NOT ELIGIBLE
CIGNA BEHAVIORAL HEALTH
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
06/25/2015
Last updated
03/17/2018
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