Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS R LAVINE, L.A.D.C.
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · COLUMBIA, CT
Registration Details
- NPI Number
- 1598719239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2006 (19.975130962711 yrs)
- Last Updated
- Jul 23, 2007
- License
-
000652 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
352 ROUTE 87COLUMBIA, CT, 062371422Browse CT providers · Browse ZIP 06237
- Phone
- 8604564567
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.