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Organization
CHRISTIAN COUNSELING CENTER OF GREATER DANBURY INC
Active
Organization
CHRISTIAN COUNSELING CENTER OF GREATER DANBURY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANN FUSCO RN MHCNS (ASSISTANT DIRECTOR)
(203) 775-3282
Entity
Organization
Contact information
Practice address
2 OLD NEW MILFORD ROAD, LANDMARK OFFICE BUILDING SUITE 2A, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3478
Mailing address
2 OLD NEW MILFORD ROAD, LANDMARK OFFICE BUILDING SUITE 2A, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
006329
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004258077
—
CT
05
—
008007955
—
CT
05
—
008062840
—
CT
Enumeration date
11/13/2006
Last updated
01/27/2021
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