Martin Brault, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Wilton, CT
NPI 1922583236 · NPPES record last updated Oct 2, 2018
Key facts
- NPI
- 1922583236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 000696 (CT)
- Practice address
- 6 Hollyhock Rd FL 2
Wilton, CT 06897-4414 - Phone
- (203) 761-9487
- Fax
- (203) 761-9487
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- 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 |
|---|---|---|---|
| 000696 | CT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 000696 | CT | Yes |
Addresses
Primary practice location
6 Hollyhock Rd FL 2
Wilton, CT 06897-4414
Mailing address
6 Hollyhock Rd FL 2
Wilton, CT 06897-4414
Phone (203) 761-9487
Other providers in Wilton, CT
- Courtney Van Houten Boucher
- Ethan Emery Bourque
- Robert Lee Brady
- Christopher M Braley
- Barbara Suzanne Brandvold
- Gwendelyn D Breemeersch
- Bridgeport Anesthesia Associates, P.C.
- Brookdale Place of Wilton, LLC
- Elizabeth Eleanor Brown
- Lori Sue Brown
All providers in Wilton, 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 Oct 2, 2018. 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.