Individual
VICTORIA DANIW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
452 LEBANON AVE, COLCHESTER, CT 06415-2171
(203) 212-9612
Mailing address
452 LEBANON AVE, COLCHESTER, CT 06415-2171
(203) 212-9612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
004769
CT
Other
Enumeration date
05/28/2019
Last updated
08/27/2024
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