Individual provider · Type 1 NPI

Danielle Lauren Forma

Mental Health Counselor · Trumbull, CT

NPI number 1407323512 Active

Practice location

19 Topaz Ln
Trumbull, CT 06611-3211

Call (203) 610-0754 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800X4881 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1407323512

Danielle Lauren Forma's National Provider Identifier is 1407323512, issued on Oct 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Trumbull, CT. The record was last updated on May 16, 2021.