person
Alphonso Coles, LADC
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
NPI 1912159708

Alphonso Coles is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Alphonso Coles practices in Waterbury, CT and has the professional credentials of LADC. The NPI Number for Alphonso Coles is 1912159708 and holds a License No. 000373 (Connecticut).

The current practice location address for Alphonso Coles is 142 Griggs St, Waterbury, CT and can be reached out via phone at 203-574-1419. You can also correspond with Alphonso Coles through the mailing address at 141 E MAIN ST, WATERBURY, CT - 06702-2310 (mailing address contact number: ).

Location: 142 Griggs St, Waterbury, CT, 06702-2310
person
Provider Profile Details
NPI Number
1912159708
Provider Name
Alphonso Coles
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
142 Griggs St, Waterbury, CT, 06702-2310
Phone Number
203-574-1419
Fax Number
Provider Enumeration Date
10/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
142 Griggs St
City
State
Zip
06704-3110
Phone Number
203-574-1419
Fax Number
person
Provider Business Mailing Address Details
Address
142 Griggs St
City
State
Zip
06704-3110
Phone Number
203-574-1419
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
000373 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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