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Mr. Pete Ralston, LADC
Addiction (Substance Use Disorder) Counselor in Portland, Connecticut
NPI 1255452686

Pete Ralston is an Addiction (Substance Use Disorder) Counselor based in Portland, CT and is specialized in Addiction (Substance Use Disorder). Pete Ralston practices in Portland, CT and has the professional credentials of LADC. The NPI Number for Pete Ralston is 1255452686 and holds a License No. 000533 (Connecticut).

The current practice location address for Pete Ralston is 25 Marlborough St, Portland, CT and can be reached out via phone at 860-342-6371.

Location: 25 Marlborough St, Portland, CT, 06480-1829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255452686
Provider Name
Pete Ralston
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
25 Marlborough St, Portland, CT, 06480-1829
Phone Number
860-342-6371
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25 Marlborough St
City
Portland
State
Connecticut
Zip
06480-1829
Phone Number
860-342-6371
Fax Number
person
Provider Business Mailing Address Details
Address
25 Marlborough St
City
Portland
State
Connecticut
Zip
06480-1829
Phone Number
860-342-6371
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
001133 (Connecticut)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
000533 (Connecticut)
Definition
Definition to come...
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