Provider Demographics
NPI:1437287000
Name:CIRAULO, DANIELLE M (LMHC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:M
Last Name:CIRAULO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:386 W BROADWAY
Mailing Address - Street 2:2ND FLOOR, COUNSELING CENTER
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-2215
Mailing Address - Country:US
Mailing Address - Phone:617-464-5875
Mailing Address - Fax:617-464-5878
Practice Address - Street 1:720 HARRISON AVE
Practice Address - Street 2:DOB 905
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2371
Practice Address - Country:US
Practice Address - Phone:617-464-5875
Practice Address - Fax:617-464-5878
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health