Individual
RANDY BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
75 WEST ST, DANBURY, CT 06810-6528
(860) 692-8868
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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