Garrett Thomas Deutermann, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Canaan, CT
NPI 1225925191 · NPPES record last updated Jun 23, 2025
Key facts
- NPI
- 1225925191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1592 (CT)
- Practice address
- 22 Prospect St
Canaan, CT 06018-2030 - Phone
- (860) 541-1947
- NPI assigned
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1592 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full of Life Counseling and Addiction Services, PLLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1592 | CT | Yes |
Addresses
Primary practice location
22 Prospect St
Canaan, CT 06018-2030
Mailing address
22 Prospect St
Canaan, CT 06018-2030
Phone (860) 541-1947
Other providers in Canaan, CT
- Connecticut Elder Care LLC
- William R Cummiskey
- John Dannon
- Candace Marie Dean
- Dennis Kobylarz MD PC
- Ashleigh Dilaurenzio
- Rita-Marie Doyle-Staino
- Melissa Dube
- Randall R Dwenger
- Laura D Ebling
All providers in Canaan, 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 23, 2025. 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.