| NPI | 1518282854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN MENARD Cheryl L. Menard Consulting LLC S 860-866-6559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 004629) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000665) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT CCPD 3777) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |