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General NPI Number Information
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NPI Number | 1245707199
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Entity Type | Individual
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Provider Name | DANIELLE DIPISA LPC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 67 FEDERAL RD STE 201 BUILDING A, SUITE 201
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City | BROOKFIELD
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State | CT
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Zip | 06804-2541
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Country | US
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Telephone | 860-317-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 67 FEDERAL RD STE 201
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City | BROOKFIELD
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State | CT
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Zip | 06804-2541
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Country | US
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Telephone | 860-317-6005
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Fax |
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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 | 3549
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License Number State | CT
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