| Daniel Decastro, Mft Llc | |
|
57 North St Ste 115 Danbury CT 06810-5626 | |
| (203) 794-4714 | |
| Not Available |
| Full Name | Daniel Decastro, Mft Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 57 North St Ste 115, Danbury, Connecticut |
| Authorized Official Name and Position | Daniel Decastro (OWNER) |
| Authorized Official Contact | 2037944714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Decastro, Mft Llc 32 Garella Rd Bethel CT 06801-1016 Ph: (203) 994-0475 | Daniel Decastro, Mft Llc 57 North St Ste 115 Danbury CT 06810-5626 Ph: (203) 794-4714 |
| NPI Number | 1154964948 |
|---|---|
| Provider Enumeration Date | 10/24/2019 |
| Last Update Date | 10/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154964948 | NPI | - | NPPES |
| 008057105 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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