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GISELA SARDINAS APRN, LCSW, LADC

Addiction Substance Use Disorder

Wallingford, Connecticut

Provider NPI: 1861498586

Provider Information:
 GISELA  SARDINAS APRN, LCSW, LADC
Gender: F
Sole Proprietor


Practice Location:
15 S ELM ST  WALLINGFORD, CT 06492 US
Tel: 203-606-2260  Fax: 203-235-2260

Business Mailing Address:
15 S ELM ST  WALLINGFORD, CT 06492 US
Tel: 203-606-2260  Fax: 203-235-2260

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CT000558
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
CT004973
N163W00000XNursing Service Providers
Registered Nurse
CT072669
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT003308

Other Provider Identifiers:

IssuerNumberStateType
004236338CT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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