TERRENCE SMITH

WILLIMANTIC, CT
NPI1285909846
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CT  000600)
Enumeration Date2012-03-15
Last Update Date2012-03-15
Business Address
TERRENCE SMITH LADC
1491 MAIN ST
WILLIMANTIC, CT 06226-1914
Phone number: 860-456-1769
Mailing Address
TERRENCE SMITH LADC
1491 MAIN ST
WILLIMANTIC, CT 06226-1914
Phone number: 860-456-1769