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Lisa Tedesco, LADC
Addiction (Substance Use Disorder) Counselor in Ellington, Connecticut
NPI 1699093716

Lisa Tedesco is an Addiction (Substance Use Disorder) Counselor based in Burlington, CT and is specialized in Addiction (Substance Use Disorder). 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 (Connecticut).

The current practice location address for Lisa Tedesco is 99 Stafford Rd Ste B-1, Ellington, CT and can be reached out via phone at 860-575-6631.

Location: 99 Stafford Rd Ste B-1, Ellington, CT, 05401-5429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 05401-5429
Phone Number
860-575-6631
Fax Number
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
99 Stafford Rd Ste B-1
City
Ellington
State
Connecticut
Zip
06029-2834
Phone Number
860-575-6631
Fax Number
person
Provider Business Mailing Address Details
Address
99 Stafford Rd Ste B-1
City
Ellington
State
Connecticut
Zip
06029-2834
Phone Number
860-575-6631
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
000347 (Vermont)
Definition
Definition to come...
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