person
Mr. Gordon Wesley Lyde, CAC,CADC
Addiction (Substance Use Disorder) Counselor in Torrington, Connecticut
NPI 1346873767

Gordon Wesley Lyde is an Addiction (Substance Use Disorder) Counselor based in Torrington, CT and is specialized in Addiction (Substance Use Disorder). Gordon Wesley Lyde practices in Torrington, CT and has the professional credentials of CAC,CADC. The NPI Number for Gordon Wesley Lyde is 1346873767 and holds a License No. (Connecticut).

The current practice location address for Gordon Wesley Lyde is 76 Jackson St, Torrington, CT and can be reached out via phone at 860-491-8511.

Location: 76 Jackson St, Torrington, CT, 06790-6202
person
Provider Profile Details
NPI Number
1346873767
Provider Name
Gordon Wesley Lyde
Credential
CAC,CADC
Provider Entity Type
Individual
Gender
Male
Address
76 Jackson St, Torrington, CT, 06790-6202
Phone Number
860-491-8511
Fax Number
Provider Enumeration Date
02/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
096272748 05 CT
institution
Provider Business Practice Location Address Details
Address
76 Jackson St
City
State
Zip
06790-6202
Phone Number
860-491-8511
Fax Number
person
Provider Business Mailing Address Details
Address
76 Jackson St
City
State
Zip
06790-6202
Phone Number
860-491-8511
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Connecticut)
Definition
Definition to come...
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