Daigneault, Cynthia

Daigneault, Cynthia is an sole proprietor health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Daigneault, Cynthia can be contacted via phone (860) 694-4020.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Phone: (860) 694-4020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 001310 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4141 Connecticut
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 941502 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW02137 Rhode Island

Profile Details

NPI number 1699335372
LBN Legal business name Daigneault, Cynthia
Credentials LCSW, LADC, EMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2019
Last updated Jun 17th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699335372 NPPES
Rhode Island MEDICAID CSW02137
Rhode Island MEDICAID 001310
Rhode Island MEDICAID 941502
Rhode Island MEDICAID 4141

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