Douglas R Lavine, L.A.D.C.
NPI #1598719239 in Columbia, Connecticut
Provider Information
- NPI Number
- 1598719239
- Entity Type
- Individual
- Name
- Douglas R Lavine, L.A.D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- L.A.D.C.
- Enumeration Date
- May 19, 2006
- Last Updated
- Jul 23, 2007
Practice Location
- Address
- 352 ROUTE 87
- City
- Columbia
- State
- Connecticut
- ZIP Code
- 06237-1422
- Phone
- (860) 456-4567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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