Forko, Danielle

Forko, Danielle is an individual health care provider with primary practice located at 445 Washington Ave , North Haven CT 06473-1320. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Forko, Danielle can be contacted via phone (203) 658-7779.

Contact Information

Primary practice address
445 Washington Ave North Haven CT 06473-1320
Phone: (203) 658-7779
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001884 Connecticut

Profile Details

NPI number 1639674955
LBN Legal business name Forko, Danielle
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2018
Last updated Mar 28th, 2018 - about 8 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 1639674955 NPPES
Connecticut MEDICAID 250938

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