Provider Demographics
NPI:1003533647
Name:CT ADDICTION COUNSELING & COACHING PLLC
Entity Type:Organization
Organization Name:CT ADDICTION COUNSELING & COACHING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSIER
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:860-506-6016
Mailing Address - Street 1:677 S MAIN ST STE 5A
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3161
Mailing Address - Country:US
Mailing Address - Phone:860-506-6016
Mailing Address - Fax:
Practice Address - Street 1:677 S MAIN ST STE 5A
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-3161
Practice Address - Country:US
Practice Address - Phone:860-506-6016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty