Active NPIIndividual provider

Leah A Russack-Baker, LADC

Counselor, Addiction (Substance Use Disorder) in Old Saybrook, Connecticut

NPI Number1073822789
Practice location
123 Elm St, Old Saybrook, CT 06475
Fax
—
Last updated
September 29, 2010

Leah Av Russack-Baker is a Counselor, Addiction (Substance Use Disorder) based in Old Saybrook, CT. 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 (CT). The current practice location address for Leah Av Russack-Baker is 123 Elm St, Old Saybrook, CT 06475 and can be reached out via phone at 860-395-1264.

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
Phone Number
860-395-1264
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Other Names
-- Leah Av Russack-Baker, LADC (Professional Name)
Provider Enumeration Date
September 29, 2010
Last Update Date
September 29, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Elm St
Old Saybrook, CT 06475
Zip
06475
Phone Number
860-395-1264
Old Saybrook, CT 06475Get directions →

Provider Business Mailing Address Details

Address
123 Elm St
Old Saybrook, CT 06475-4108
City
Old Saybrook
State
CT
Zip
06475-4108
Phone Number
860-395-1264

License Information

License Number
03-973340
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leah A Russack-Baker, LADC?

The NPI number of Leah A Russack-Baker, LADC is 1073822789. It was assigned on September 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Leah A Russack-Baker, LADC?

Leah A Russack-Baker, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 03-973340.

Where does Leah A Russack-Baker, LADC practice?

The practice location is 123 Elm St, Old Saybrook, CT 06475. The office can be reached at 860-395-1264 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073822789 directly on the NPPES registry website.

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