Individual
ERIC M VINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
284 RACEBROOK RD STE 218, ORANGE, CT 06477
(203) 800-3868
Mailing address
284 RACEBROOK RD STE 218, ORANGE, CT 06477
(203) 800-3868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001309
CT
1041C0700X
Clinical Social Worker
Primary
011438
CT
Other
Enumeration date
01/29/2019
Last updated
07/01/2021
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