Provider Demographics
NPI:1013235563
Name:DELANO, VERONICA DUARTE (LMHC, LADC, LCSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:DUARTE
Last Name:DELANO
Suffix:
Gender:M
Credentials:LMHC, LADC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1201
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-0695
Mailing Address - Country:US
Mailing Address - Phone:774-526-9154
Mailing Address - Fax:
Practice Address - Street 1:888 PURCHASE ST
Practice Address - Street 2:BAY 1
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6260
Practice Address - Country:US
Practice Address - Phone:508-997-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1503101YA0400X
MA5750101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)