Individual
MR. COREY TRAVIS ROSENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, LADC
Contact information
Practice address
30 PECK RD, SUITE 2104, TORRINGTON, CT 06790-6123
(860) 482-2613
Mailing address
23 MAIN ST, BURLINGTON, CT 06013-2216
(860) 404-0833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000986
CT
101YP2500X
Professional Counselor
Primary
002254
CT
Other
Enumeration date
05/16/2010
Last updated
03/29/2013
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