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General NPI Number Information
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NPI Number | 1245722453
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Entity Type | Individual
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Provider Name | DANIELLE DELUCA LPC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1000 BRIDGEPORT AVE STE 202
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City | SHELTON
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State | CT
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Zip | 06484-4669
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Country | US
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Telephone | 203-712-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 984 SOUTHFORD RD
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City | MIDDLEBURY
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State | CT
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Zip | 06762-3234
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Country | US
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Telephone | 203-758-2400
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3856
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3856
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10003000
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License Number State | MA
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