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NPI Code Detail

MEDICARE: MS. DANYELLA MARIE PEREZ DARC

MEDICARE: MS. DANYELLA MARIE PEREZ DARC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1831526169
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANYELLA MARIE PEREZ DARC
Provider Business Mailing Address
First Line : 22 CHASE RIVER RD
Second Line :
City : WATERBURY
State : CT
Zip : 06704-1408
Country : US
Telephone Number : 203-753-2153
Fax Number : 203-756-6032
Provider Business Practice Location Address
First Line : 22 CHASE RIVER RD
Second Line :
City : WATERBURY
State : CT
Zip : 06704-1408
Country : US
Telephone Number : 203-753-2153
Fax Number : 203-756-6032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2013
Last Update Date : 10/01/2013

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