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General NPI Number Information
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NPI Number | 1083931505
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Entity Type | Individual
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Provider Name | DONNA MARIE GLEISSNER MS
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Gender | Female
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Dates
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Enumeration Date | 04/23/2010
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 289 WHITE STREET STE 1
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City | DANBURY
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State | CT
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Zip | 06810-3702
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Country | US
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Telephone | 914-482-1118
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Fax | 636-331-7712
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Provider Business Mailing Address
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Address Line | 55 MILL PLAIN ROAD 32-16
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City | DANBURY
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State | CT
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Zip | 06811-5175
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Country | US
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Telephone | 914-482-1118
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Fax | 636-331-7712
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 000231
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 001177
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 000231
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License Number State | CT
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