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Edward Edgar, LADC
Addiction (Substance Use Disorder) Counselor in Waterbury, Connecticut
NPI 1447467428

Edward Edgar is an Addiction (Substance Use Disorder) Counselor based in Waterbury, CT and is specialized in Addiction (Substance Use Disorder). Edward Edgar practices in Waterbury, CT and has the professional credentials of LADC. The NPI Number for Edward Edgar is 1447467428 and holds a License No. 000374 (Connecticut).

The current practice location address for Edward Edgar is 525 Wolcott St, Waterbury, CT and can be reached out via phone at 203-596-7870. You can also correspond with Edward Edgar through the mailing address at 525 WOLCOTT ST, WATERBURY, CT - 06705-1240 (mailing address contact number: 203-596-7870).

Location: 525 Wolcott St, Waterbury, CT, 06705-1240
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Provider Profile Details
NPI Number
1447467428
Provider Name
Edward Edgar
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
525 Wolcott St, Waterbury, CT, 06705-1240
Phone Number
203-596-7870
Fax Number
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300000374CT02 01 CT ANTHEM BLUE CROSS
300000374CT01 01 CT ANTHEM BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
525 Wolcott St
City
State
Zip
06705-1240
Phone Number
203-596-7870
Fax Number
person
Provider Business Mailing Address Details
Address
525 Wolcott St
City
State
Zip
06705-1240
Phone Number
203-596-7870
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000374 (Connecticut)
Definition
Definition to come...
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