A New Journey Counseling Center LLC
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Waterford, CT
NPI 1154946259 · NPPES record last updated Jun 15, 2020
Key facts
- NPI
- 1154946259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- A NEW JOURNEY COUNSELING CENTER LLC
- Practice address
- 567 Vauxhall Street Ext.
Waterford, CT 06385-0638 - Phone
- (860) 608-3404
- NPI assigned
- Jun 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Cassidy Donovan
- Title
- Billing Specialist
- Phone
- (877) 535-9923
Practitioners 1
-
Jeanette Ann Kenney, LADC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
567 Vauxhall Street Ext.
Waterford, CT 06385-0638
Mailing address
44 Otis St
Norwich, CT 06360-4420
Phone (860) 608-3404
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All providers in Waterford, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.