Individual
DANIELLE MONTEMERLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
463 SWANSEA MALL DR, SWANSEA, MA 02777-4119
(508) 324-4202
Mailing address
567 VAUXHALL STREET EXT STE 207, WATERFORD, CT 06385-4332
(860) 501-9771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
3807
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3807
LICENSED PROFESSIONAL COUNSELOR
CT
Enumeration date
05/10/2017
Last updated
08/12/2019
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