Individual
LAURALEE ANN CANDELARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
54 E RAMSDELL ST, NEW HAVEN, CT 06515-1140
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1566
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008042339
—
CT
05
—
008109605
—
CT
05
—
008127872
—
CT
Enumeration date
06/24/2024
Last updated
07/18/2024
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