Healthcare Provider Details

I. General information

NPI: 1578279444
Provider Name (Legal Business Name): DANIELLE MARIE HUTCHINSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2023
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 PLAINFIELD RD
MOOSUP CT
06354-1632
US

IV. Provider business mailing address

34 E TOWN ST
NORWICH CT
06360-2317
US

V. Phone/Fax

Practice location:
  • Phone: 860-822-4938
  • Fax: 860-230-0780
Mailing address:
  • Phone: 860-822-4324
  • Fax: 860-823-3060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6002
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: