Organization
CHRISTIAN COUNSELING CENTER OF GREATER DANBURY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANN FUSCO RN MHCNS (ASSISTANT DIRECTOR)
(203) 775-3282
Entity
Organization
Contact information
Practice address
2 OLD NEW MILFORD ROAD, LANDMARK OFFICE BUILDING SUITE 2A, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3478
Mailing address
2 OLD NEW MILFORD ROAD, LANDMARK OFFICE BUILDING SUITE 2A, BROOKFIELD, CT 06804-2426
(203) 775-3282
(203) 775-3478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
006329
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004258077
—
CT
05
—
008007955
—
CT
05
—
008062840
—
CT
Enumeration date
11/13/2006
Last updated
01/27/2021
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