| A Daring Voyage, Llc | |
|
90 S Park St Ste 30 Willimantic CT 06226-3336 | |
| (617) 594-1327 | |
| Not Available |
| Full Name | A Daring Voyage, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 90 S Park St Ste 30, Willimantic, Connecticut |
| Authorized Official Name and Position | Laura Desantis (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 6175941327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Daring Voyage, Llc 90 S Park St Ste 30 Willimantic CT 06226-3336 Ph: (617) 594-1327 | A Daring Voyage, Llc 90 S Park St Ste 30 Willimantic CT 06226-3336 Ph: (617) 594-1327 |
| NPI Number | 1881195816 |
|---|---|
| Provider Enumeration Date | 02/25/2018 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881195816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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