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Whitney Balliett, LADC
NPI 1558749945 · on the registry since 2015
Practice
- Address
- 187 S Canaan Rd
Canaan, CT 06018 - Phone
- (860) 824-1397
- Organisation at this address
- Mc1 Healthcare
Mc2 - Healthcare
Vitality Healthcare Llc
Mountainside Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-18
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