Provider Demographics
NPI:1356799571
Name:BRITTON, JOHN ANDREW (LADC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ANDREW
Last Name:BRITTON
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 ORANGE ST
Mailing Address - Street 2:FOURTH FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3140
Mailing Address - Country:US
Mailing Address - Phone:203-937-2309
Mailing Address - Fax:
Practice Address - Street 1:139 ORANGE ST
Practice Address - Street 2:FOURTH FLOOR
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3140
Practice Address - Country:US
Practice Address - Phone:203-937-2309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001199101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)