Provider Demographics
NPI:1255712220
Name:HAYDEN, DANIELLE JUSTINE-CORSARO (LPC)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:JUSTINE-CORSARO
Last Name:HAYDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:JUSTINE
Other - Last Name:CORSARO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC/LCPC
Mailing Address - Street 1:7 KENSINGTON LN UNIT 104
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3646
Mailing Address - Country:US
Mailing Address - Phone:607-215-1339
Mailing Address - Fax:
Practice Address - Street 1:41900 FENWICK ST STE 1
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3815
Practice Address - Country:US
Practice Address - Phone:607-215-1339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17269101YM0800X
MDLC10424101YM0800X
CT006643101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health