Individual
MARTIN BRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
6 HOLLYHOCK RD FL 2, WILTON, CT 06897-4414
(203) 761-9487
(203) 761-9487
Mailing address
6 HOLLYHOCK RD FL 2, WILTON, CT 06897-4414
(203) 761-9487
(203) 761-9487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000696
CT
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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