Individual
PETER PERROTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC., LADC
Contact information
Practice address
50 ALBANY TPKE STE 3010, CANTON, CT 06019-2555
(860) 751-9125
Mailing address
114 DEEPWOOD DR, AVON, CT 06001-3155
(860) 751-9125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44.001162
CT
101YP2500X
Professional Counselor
3284
CT
Other
Enumeration date
09/19/2015
Last updated
10/30/2017
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