Mr. Gerald Wagner Jr., LADC
Mr. Gerald Wagner Jr., LADC is an Addiction (Substance Use Disorder) Counselor in New London, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.
- Licensed in
- CT
- In the registry since
- 2012
What do these letters mean?
- LADC — Licensed Alcohol and Drug Counselor
- A licensed addiction counsellor.
Practice location Address checks out
21 Montauk AveNew London, CT 06320-4906
Phone: (860) 271-4715
Fax: (860) 271-4797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 000326 (CT) |
|---|
Record details
| NPI number | 1962759084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LADC |
| Sole proprietor | No |
| NPI enumerated | August 8, 2012 |
| Last updated in NPPES | December 21, 2016 |
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