Individual
MS. DAYSHA BERENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC., LPC., CCC.
Contact information
Practice address
189 S MAIN ST, MANCHESTER, CT 06040-6543
(360) 933-4220
Mailing address
189 S MAIN ST, MANCHESTER, CT 06040-6543
(360) 933-4220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH60967595
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
4670
CT
Other
Enumeration date
04/11/2016
Last updated
06/17/2022
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