person
Earle B Sanford, LPC,LADC
Addiction (Substance Use Disorder) Counselor in New Haven, Connecticut
NPI 1992073696

Earle B Sanford is an Addiction (Substance Use Disorder) Counselor based in New Haven, CT and is specialized in Addiction (Substance Use Disorder). Earle B Sanford practices in New Haven, CT and has the professional credentials of LPC,LADC. The NPI Number for Earle B Sanford is 1992073696 and holds a License No. 001084 (Connecticut).

The current practice location address for Earle B Sanford is 495 Congress Ave, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Location: 495 Congress Ave, New Haven, CT, 06511-5991
person
Provider Profile Details
NPI Number
1992073696
Provider Name
Earle B Sanford
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
495 Congress Ave, New Haven, CT, 06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
12/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008001325 05 CT
004082260 05 CT
008022622 05 CT
008038054 05 CT
institution
Provider Business Practice Location Address Details
Address
495 Congress Ave
City
State
Zip
06519-1312
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
495 Congress Ave
City
State
Zip
06519-1312
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
000985 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001084 (Connecticut)
Definition
Definition to come...
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