Stacy Benson, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Danbury, CT
NPI 1770944480 · NPPES record last updated Mar 9, 2016
Key facts
- NPI
- 1770944480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 001190 (CT)
- Practice address
- 60 Beaver Brook Rd
Danbury, CT 06810-6239 - Phone
- (203) 743-7574
- NPI assigned
- Mar 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 001190 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001190 | CT | Yes |
Addresses
Primary practice location
60 Beaver Brook Rd
Danbury, CT 06810-6239
Mailing address
60 Beaver Brook Rd
Danbury, CT 06810-6239
Phone (203) 743-7574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001190 | Other | CT | CONNECTICUT DEPARTMENT OF PUBLIC HEALTH |
Other providers in Danbury, CT
- Michelle Bellin
- Jacqueline Rose Bendeson
- Benjamin M. Frank, D.D.S.
- Isabella Stone Bennett
- Michael James Bennett
- Amy Benusis
- John J Benusis
- Amanda Jean Benzinger
- Kristen Benzinger
- Justin Angelo Joson Bercasio
All providers in Danbury, 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 Mar 9, 2016. 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.