Theresa Mamie Charles I
NPI #1255769576 in Groton, Connecticut
Provider Information
- NPI Number
- 1255769576
- Entity Type
- Individual
- Name
- Theresa Mamie Charles I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 23, 2013
- Last Updated
- Oct 23, 2013
Practice Location
- Address
- 542 LONGHILL ROAD
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (866) 448-4993
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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