Individual
DEBORAH DATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCSP
Contact information
Practice address
39 SHERMAN CT, FAIRFIELD, CT 06824-5825
(203) 255-2211
(203) 256-9225
Mailing address
39 SHERMAN CT, FAIRFIELD, CT 06824-5825
(203) 255-2211
(203) 256-9225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1592
CT
103TS0200X
School Psychologist
906
MA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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