Doctor Name: | WILLIAM MECCA |
NPI Number: | 1073565438 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 000574 |
Business Practice Address: | 4 Whitney Extention Westport, CT - 06880 |
Business Phone Number: | 2032573181 |
Business Fax Number: | 2033751999 |
Mailing Address: | 31 Skyview Dr, TRUMBULL |
State: | CT |
Postal Code: | 066114033 |
Phone Number: | 2032573181 |
Fax Number: | 2033751999 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 000574 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |