person
Mr. Christopher J Leary, LADC
Professional Counselor in Enfield, Connecticut
NPI 1215107099

Christopher J Leary is a Professional Counselor based in Enfield, CT and is specialized in Professional. Christopher J Leary practices in Enfield, CT and has the professional credentials of LADC. The NPI Number for Christopher J Leary is 1215107099 and holds a License No. 000476 (Connecticut).

The current practice location address for Christopher J Leary is 113 Elm St Ste 204, Enfield, CT and can be reached out via phone at 860-741-3001 and via fax at 860-741-8332.

Location: 113 Elm St Ste 204, Enfield, CT, 06082-3739
person
Provider Profile Details
NPI Number
1215107099
Provider Name
Christopher J Leary
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
113 Elm St Ste 204, Enfield, CT, 06082-3739
Phone Number
860-741-3001
Fax Number
860-741-8332
Provider Enumeration Date
03/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
301508 01 CT MANAGED HEALTH NETWORK
A412956 01 CT OXFORD INSURANCE
CTGA000477-B001475 01 CT STATE ADMINISTER ASST.
321137 01 CT VALUE OPTIONS
300000476CT01 01 CT ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
113 Elm St Ste 204
City
State
Zip
06082-3739
Phone Number
860-741-3001
Fax Number
860-741-8332
person
Provider Business Mailing Address Details
Address
113 Elm St Ste 204
City
State
Zip
06082-3739
Phone Number
860-741-3001
Fax Number
860-741-8332
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3665 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
000061 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
000476 (Connecticut)
Definition
Definition to come...
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