person
Diane J Richards-penland, LADC
Addiction (Substance Use Disorder) Counselor in Danielson, Connecticut
NPI 1801576079

Diane J Richards-penland is an Addiction (Substance Use Disorder) Counselor based in Southbury, CT and is specialized in Addiction (Substance Use Disorder). Diane J Richards-penland practices in Danielson, CT and has the professional credentials of LADC. The NPI Number for Diane J Richards-penland is 1801576079 and holds a License No. 001484 (Connecticut).

The current practice location address for Diane J Richards-penland is 60 &70 Cottage St., Danielson, CT and can be reached out via phone at 860-774-0215 and via fax at 860-774-2256.

Location: 60 &70 Cottage St., Danielson, CT, 06488-2641
person
Provider Profile Details
NPI Number
1801576079
Provider Name
Diane J Richards-penland
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
60 &70 Cottage St., Danielson, CT, 06488-2641
Phone Number
860-774-0215
Fax Number
860-774-2256
Provider Enumeration Date
07/21/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008024427 05 CT
008023170 05 CT
008042339 05 CT
008109605 05 CT
008039745 05 CT
institution
Provider Business Practice Location Address Details
Address
60 &70 Cottage St.
City
State
Zip
06329
Phone Number
860-774-0215
Fax Number
860-774-2256
person
Provider Business Mailing Address Details
Address
60 &70 Cottage St.
City
State
Zip
06329
Phone Number
860-774-0215
Fax Number
860-774-2256
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
001484 (Connecticut)
Definition
Definition to come...
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