| Diane E, Casalaina, Ma, Ladc, Llc | |
|
31 Cherry St Suite 101 Milford CT 06460-3465 | |
| (203) 301-4659 | |
| Not Available |
| Full Name | Diane E, Casalaina, Ma, Ladc, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 31 Cherry St, Milford, Connecticut |
| Authorized Official Name and Position | Diane Elena Casalaina (OWNER) |
| Authorized Official Contact | 2033014660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane E, Casalaina, Ma, Ladc, Llc 31 Cherry St Suite 101 Milford CT 06460-3465 Ph: (203) 301-4659 | Diane E, Casalaina, Ma, Ladc, Llc 31 Cherry St Suite 101 Milford CT 06460-3465 Ph: (203) 301-4659 |
| NPI Number | 1043528391 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043528391 | NPI | - | NPPES |
| 300000805CT01 | Other | BLUE CROSS BLUE SHIELD ANTHEM | |
| 008001912 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000805 (Connecticut) | Primary |
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