Provider Demographics
NPI:1639757396
Name:MONROE, DANIELLE (LPC, NBCC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:MONROE
Suffix:
Gender:F
Credentials:LPC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LIMEKILN CT
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-3234
Mailing Address - Country:US
Mailing Address - Phone:203-947-6333
Mailing Address - Fax:
Practice Address - Street 1:14 DEPOT PL STE 4
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-2540
Practice Address - Country:US
Practice Address - Phone:203-292-0856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health