Individual
DR. THERESA J CANADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., NCC,LPC,DCC
Contact information
Practice address
115 BOULEVARD DR, DANBURY, CT 06810-7256
(203) 293-9912
Mailing address
90 LA SALLE ST, 15B, NEW YORK, NY 10027-4719
(212) 663-4423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000399
CT
Other
Enumeration date
12/28/2012
Last updated
04/17/2026
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