NPI 1043484702

Susan Kelly, LADCCAC

Practitioner Addiction (Substance Use Disorder) Counselor Hamden, CT

Practice location

Address: 1890 Dixwell Ave, Hamden, CT 06514-3122
Phone: (860) 223-9291
Fax: (860) 223-3111

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 000634 (CT)

Other Counselor providers in Connecticut →

Registry record

NPI: 1043484702
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2008
Record last updated: 14 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.