| Doctor Name: | MR. JOHN A PACHECO |
| NPI Number: | 1073531133 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, LADC |
| License Number: | 000248 |
| Business Practice Address: | 1825 Barnum Ave Suite #304 Stratford, CT - 066145333 |
| Business Phone Number: | 2033755782 |
| Business Fax Number: | 2033753048 |
| Mailing Address: | 1825 Barnum Ave, Suite #304 STRATFORD |
| State: | CT |
| Postal Code: | 066145333 |
| Phone Number: | 2033755782 |
| Fax Number: | 2033753048 |
| NPI Enumeration Date: | 07/17/2006 |
| NPI Last Update Date: | 02/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000248 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |