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Individual

DANIELLE TERNULLO-FARKASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LADC

Contact information

Practice address
61 BRADLEY ST STE 3A, BRISTOL, CT 06010-5103
(860) 770-4194
Mailing address
97 ROCK RD, BURLINGTON, CT 06013-1615
(860) 882-3331

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001454
CT
101YM0800X
Mental Health Counselor
004976
CT
101YM0800X
Mental Health Counselor
Primary
006098
CT

Other

Enumeration date
07/22/2022
Last updated
07/04/2024
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