Marvin Hugh Douglas Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Hartford, CT
- NPI
- 1083045710
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 000090 (CT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-12-05
- Last updated
- 2013-12-05
Practice location
330 Market St
Hartford, CT 06120-2901
(860) 490-8864