Jozef P Chilicki, MA

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Newington, CT

NPI 1992896351 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992896351
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
555 Willard Ave
Newington, CT 06111-2631
Phone
(860) 594-6354
Fax
(860) 667-6842
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

555 Willard Ave
Newington, CT 06111-2631

Mailing address

80 Alison Dr
South Windsor, CT 06074-1149
Phone (860) 282-7972

Other providers in Newington, CT

All providers in Newington, CT · Addiction (Substance Use Disorder) Counselor in Connecticut

Sources for this page

Verify at the official NPI Registry.