Individual
TERRI WATERS BURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, MS
Contact information
Practice address
419 WHALLEY AVE STE 101, NEW HAVEN, CT 06511-3019
(203) 439-5555
(203) 739-1117
Mailing address
419 WHALLEY AVE STE 101, NEW HAVEN, CT 06511-3019
(203) 439-5555
(203) 739-1117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000330
CT
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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