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Individual

GISELA SARDINAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, LCSW, LADC

Contact information

Practice address
15 S ELM ST, WALLINGFORD, CT 06492-4741
(203) 606-2260
(203) 235-2260
Mailing address
15 S ELM ST, WALLINGFORD, CT 06492-4741
(203) 606-2260
(203) 235-2260

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000558
CT
1041C0700X
Clinical Social Worker
004973
CT
163W00000X
Registered Nurse
072669
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003308
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004236338
CT
Enumeration date
06/27/2005
Last updated
02/04/2011
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