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Search › Connecticut › Addiction (Substance Use Disorder) Counselor

Marvin Douglas

NPI 1083045710 · on the registry since 2013 · sole proprietor

Practice

Address
330 Market St
Hartford, CT 06120
Phone
(860) 490-8864
Fax
(860) 761-7928
Organisation at this address
Community Renewal Team, Inc
Community Renewal Team, Inc
Community Renewal Team, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut