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Individual

BEN JOHN STOLLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
119 MAIN ST, STAMFORD, CT 06901-2818
(203) 300-4009
Mailing address
15 OLD PURDY STATION RD, NEWTOWN, CT 06470-2462
(203) 300-4009

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1536
CT

Other

Enumeration date
01/02/2024
Last updated
01/02/2024
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