Individual
PAUL COLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 COOLIDGE AVE, NEWINGTON, CT 06111-2302
(806) 502-0917
Mailing address
49 COOLIDGE AVE, NEWINGTON, CT 06111-2302
(806) 502-0917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1340
CT
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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