person
John Leroy Forlenza-bailey, LADC
Addiction (Substance Use Disorder) Counselor in Manchester, Connecticut
NPI 1255392759

John Leroy Forlenza-bailey is an Addiction (Substance Use Disorder) Counselor based in West Hartford, CT and is specialized in Addiction (Substance Use Disorder). John Leroy Forlenza-bailey practices in Manchester, CT and has the professional credentials of LADC. The NPI Number for John Leroy Forlenza-bailey is 1255392759 and holds a License No. 000353 (Connecticut).

The current practice location address for John Leroy Forlenza-bailey is 71 Haynes St, Manchester, CT and can be reached out via phone at 860-646-1222 and via fax at 860-533-3452. You can also correspond with John Leroy Forlenza-bailey through the mailing address at 230 QUAKER LN N, WEST HARTFORD, CT - 06119-1149 (mailing address contact number: 860-232-0301).

Location: 71 Haynes St, Manchester, CT, 06119-1149
person
Provider Profile Details
NPI Number
1255392759
Provider Name
John Leroy Forlenza-bailey
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
71 Haynes St, Manchester, CT, 06119-1149
Phone Number
860-646-1222
Fax Number
860-533-3452
Provider Enumeration Date
04/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
71 Haynes St
City
State
Zip
06040-4131
Phone Number
860-646-1222
Fax Number
860-533-3452
person
Provider Business Mailing Address Details
Address
230 Quaker Ln N
City
State
Zip
06119-1149
Phone Number
860-232-0301
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000353 (Connecticut)
Definition
Definition to come...
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