Lisa Tedesco, LADC
Counselor, Addiction (Substance Use Disorder) in Ellington, Connecticut
1699093716- Practice location
- 99 Stafford RD Ste B-1, Ellington, CT 06029-2834
- Phone
- 860-575-6631
- Fax
- —
- Last updated
- September 29, 2021
Lisa Tedesco is a Counselor, Addiction (Substance Use Disorder) based in Ellington, CT. Lisa Tedesco practices in Ellington, CT and has the professional credentials of LADC. The NPI Number for Lisa Tedesco is 1699093716 and holds a License No. 000347 (VT). The current practice location address for Lisa Tedesco is 99 Stafford RD Ste B-1, Ellington, CT 06029-2834 and can be reached out via phone at 860-575-6631.
Provider Profile Details
- NPI Number
- 1699093716
- Provider Name
- Lisa Tedesco
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 99 Stafford RD Ste B-1, Ellington, CT 06029-2834
- Phone Number
- 860-575-6631
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2010
- Last Update Date
- September 29, 2021
- Certification Date
- September 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Stafford RD Ste B-1
Ellington, CT 06029-2834 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-2834
- Phone Number
- 860-575-6631
Provider Business Mailing Address Details
- Address
- 208 Flynn Ave
Suite 3J
Burlington, VT 05401-5429 - City
- Burlington
- State
- VT
- Zip
- 05401-5429
- Phone Number
- 802-488-6900
- Fax Number
- 802-488-6901
License Information
- License Number (1)
- 000347
- License State (1)
- VT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 667
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Ellington, CT
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Frequently Asked Questions
What is the NPI number of Lisa Tedesco, LADC?
The NPI number of Lisa Tedesco, LADC is 1699093716. It was assigned on May 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Lisa Tedesco, LADC?
Lisa Tedesco, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000347.
Where does Lisa Tedesco, LADC practice?
The practice location is 99 Stafford RD Ste B-1, Ellington, CT 06029-2834. The office can be reached at 860-575-6631 (phone).
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 1699093716 directly on the NPPES registry website.