Individual
TERESA ROEHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
495 CONGRESS AVE, NEW HAVEN, CT 06519-1312
(203) 781-4740
(203) 781-4751
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
000824
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
008001325
—
CT
05
—
0080038053
—
CT
05
—
008022622
—
CT
Enumeration date
05/22/2007
Last updated
12/19/2012
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