Individual
DANIELLE ALEXIS IDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 MAIN ST APT 2A, WEST HAVEN, CT 06516-4559
(203) 214-9593
Mailing address
202 MAIN ST APT 2A, WEST HAVEN, CT 06516-4559
(203) 214-9593
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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