Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM P MOUTINHO, MS LPC LADC NCC
ActiveAddiction (Substance Use Disorder) Counselor · FARMINGTON, CT
Registration Details
- NPI Number
- 1932255726
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2007 (19.236552829061 yrs)
- Last Updated
- May 18, 2023
- Licenses
-
2231 (CT)797 (CT)
Practice Information
- Address
-
270 FARMINGTON AVE STE 328FARMINGTON, CT, 060321909Browse CT providers · Browse ZIP 06032
- Phone
- 8668876864
- Fax
- 8668876864
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| MR. PAUL NYKLICEK | LMFT, LADC | 1053473744 |
| AMANDA BEGIN | MA, LADC | 1992335616 |
| MR. ERIC GREGORY JACKLIN | CAC, ICADC, MS, LADC | 1235725607 |
| KARLA DUNKLEY | LADC | 1538876735 |
| MS. CHARLATTA V JONES | LADC, LMSW | 1841015377 |
| MRS. KATHLEEN DANIELS | STUDENT | 1578429007 |
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.