WHITNEY BALLIETT

CANAAN, CT
NPI1558749945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT  1038)
Enumeration Date2015-05-18
Last Update Date2015-05-18
Business Address
-- WHITNEY BALLIETT LADC
187 S CANAAN RD
CANAAN, CT 06018-2544
Phone number: 860-824-1397
Mailing Address
-- WHITNEY BALLIETT LADC
PO BOX 717
CANAAN, CT 06018-0717
Phone number: