Active NPIIndividual provider

Mr. Richard Henault Jr., LADC

Counselor, Addiction (Substance Use Disorder) in Wethersfield, Connecticut

NPI Number1336362011
Practice location
59 Burwood RD, Wethersfield, CT 06109-3602
Fax
860-563-1029
Last updated
July 8, 2007

Richard Henault is a Counselor, Addiction (Substance Use Disorder) based in Wethersfield, CT. Richard Henault practices in Wethersfield, CT and has the professional credentials of LADC. The NPI Number for Richard Henault is 1336362011 and holds a License No. 000145 (CT). The current practice location address for Richard Henault is 59 Burwood RD, Wethersfield, CT 06109-3602 and can be reached out via phone at 860-794-1661 and via fax at 860-563-1029.

Provider Profile Details

NPI Number
1336362011
Provider Name
Richard Henault
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
59 Burwood RD, Wethersfield, CT 06109-3602
Phone Number
860-794-1661
Fax Number
860-563-1029
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Burwood RD
Wethersfield, CT 06109-3602
Zip
06109-3602
Phone Number
860-794-1661
Fax Number
860-563-1029
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
59 Burwood RD
Wethersfield, CT 06109-3602
City
Wethersfield
State
CT
Zip
06109-3602
Phone Number
860-794-1661
Fax Number
860-563-1029

License Information

License Number
000145
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 Mr. Richard Henault Jr., LADC?

The NPI number of Mr. Richard Henault Jr., LADC is 1336362011. It was assigned on April 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Richard Henault Jr., LADC?

Mr. Richard Henault Jr., LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 000145.

Where does Mr. Richard Henault Jr., LADC practice?

The practice location is 59 Burwood RD, Wethersfield, CT 06109-3602. The office can be reached at 860-794-1661 (phone) or 860-563-1029 (fax).

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 1336362011 directly on the NPPES registry website.

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