person
Leah Av Russack-baker, LADC
Addiction (Substance Use Disorder) Counselor in Old Saybrook, Connecticut
NPI 1073822789

Leah Av Russack-baker is an Addiction (Substance Use Disorder) Counselor based in Old Saybrook, CT and is specialized in Addiction (Substance Use Disorder). Leah Av Russack-baker practices in Old Saybrook, CT and has the professional credentials of LADC. The NPI Number for Leah Av Russack-baker is 1073822789 and holds a License No. 03-973340 (Connecticut).

The current practice location address for Leah Av Russack-baker is 123 Elm St, Old Saybrook, CT and can be reached out via phone at 860-395-1264.

Location: 123 Elm St, Old Saybrook, CT, 06475-4108
person
Provider Profile Details
NPI Number
1073822789
Provider Name
Leah Av Russack-baker
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
123 Elm St, Old Saybrook, CT, 06475-4108
Phone Number
860-395-1264
Fax Number
Provider Enumeration Date
09/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730336439 05 CT
institution
Provider Business Practice Location Address Details
Address
123 Elm St
City
State
Zip
06475
Phone Number
860-395-1264
Fax Number
person
Provider Business Mailing Address Details
Address
123 Elm St
City
State
Zip
06475
Phone Number
860-395-1264
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
03-973340 (Connecticut)
Definition
Definition to come...
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