Provider Demographics
NPI:1831526169
Name:PEREZ, DANYELLA MARIE (DARC)
Entity type:Individual
Prefix:MS
First Name:DANYELLA
Middle Name:MARIE
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DARC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CHASE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704-1408
Mailing Address - Country:US
Mailing Address - Phone:203-753-2153
Mailing Address - Fax:203-756-6032
Practice Address - Street 1:22 CHASE RIVER RD
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704-1408
Practice Address - Country:US
Practice Address - Phone:203-753-2153
Practice Address - Fax:203-756-6032
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)