NPI 1174662837

Kathleen D Riccio, BSCAC

Practitioner Addiction (Substance Use Disorder) Counselor Ansonia, CT

Practice location

Address: 435 E Main St, Ansonia, CT 06401-1964
Phone: (203) 736-2601
Fax: (203) 736-2641
Mailing address: 88 Bristol St, Waterbury, CT 06708-4927

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CAC-4079 (CT)

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Registry record

NPI: 1174662837
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2007
Record last updated: 8 Jul 2007

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.