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Mrs. Danielle Lauren Forma
Mental Health Counselor in Trumbull, Connecticut
NPI 1407323512

Danielle Lauren Forma is a Mental Health Counselor based in Trumbull, CT and is specialized in Mental Health. Danielle Lauren Forma practices in Trumbull, CT. The NPI Number for Danielle Lauren Forma is 1407323512 and holds a License No. (Connecticut).

The current practice location address for Danielle Lauren Forma is 19 Topaz Ln, Trumbull, CT and can be reached out via phone at 203-610-0754.

Location: 19 Topaz Ln, Trumbull, CT, 06611-3211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407323512
Provider Name
Danielle Lauren Forma
Credential
Provider Entity Type
Individual
Gender
Female
Address
19 Topaz Ln, Trumbull, CT, 06611-3211
Phone Number
203-610-0754
Fax Number
Provider Enumeration Date
10/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 Topaz Ln
City
Trumbull
State
Connecticut
Zip
06611-3211
Phone Number
203-610-0754
Fax Number
person
Provider Business Mailing Address Details
Address
19 Topaz Ln
City
Trumbull
State
Connecticut
Zip
06611-3211
Phone Number
203-610-0754
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4881 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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