Individual provider · Type 1 NPI

Theresa J. Canada, ED.D., NCC, LPC, DCC

Professional Counselor · Danbury, CT

NPI number 1962748517 Active

Practice location

115 Boulevard Dr
Danbury, CT 06810-7256

Call (203) 293-9912 Map

Mailing address

90 La Salle St, 15B
New York, NY 10027-4719

Other practice locations

  • 90 La Salle St Apt 15B, New York, NY 10027-4723 · (212) 663-4423

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X000399 (CT)

Professional Counselor: Definition to come...

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About NPI 1962748517

Theresa J. Canada, ED.D., NCC, LPC, DCC's National Provider Identifier is 1962748517, issued on Dec 28, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Danbury, CT. The record was last updated on Apr 17, 2026.