Provider Demographics
NPI:1154344828
Name:ARTES, JAMES (LADC, LCSW, OTRL)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:ARTES
Suffix:
Gender:M
Credentials:LADC, LCSW, OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 FRANKLIN ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706-1221
Mailing Address - Country:US
Mailing Address - Phone:203-709-8873
Mailing Address - Fax:203-709-8689
Practice Address - Street 1:100 JEFFERSON SQ
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706-1109
Practice Address - Country:US
Practice Address - Phone:203-709-6200
Practice Address - Fax:203-709-3335
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000009101YA0400X
CT000875106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004253861Medicaid