MEDICARE: DANIELLE COUSINEAU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1043156961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE COUSINEAU

Provider Business Mailing Address
First Line	:	77 MILL ST
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-4598
Country	:	US
Telephone Number	:	413-568-3614
Fax Number	:	413-572-4104

Provider Business Practice Location Address
First Line	:	77 MILL ST
Second Line	:
City	:	WESTFIELD
State	:	MA
Zip	:	01085-4598
Country	:	US
Telephone Number	:	413-568-3614
Fax Number	:	413-572-4104

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ DANIELLE COUSINEAU ” Practice Location

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