Individual
MR. PAUL ANTHONY LAVAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSS,COACH
Contact information
Practice address
846 WETHERSFIELD AVE STE 101, HARTFORD, CT 06114-3180
(860) 962-1803
Mailing address
627 BROAD ST APT D, HARTFORD, CT 06106-4630
(860) 962-1803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CT
106S00000X
Behavior Technician
—
CT
251B00000X
Case Management Agency
—
CT
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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