Individual
SHAWN TARDIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 CENTER ST, MANCHESTER, CT 06040-3926
(860) 646-3888
Mailing address
1317 EAST ST APT 315, NEW BRITAIN, CT 06053-2582
(860) 967-8573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/23/2020
Last updated
03/06/2024
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