Diane Gertud Reilly, LPC
Counselor, Mental Health in Danbury, CT. Individual provider (NPI-1).
NPI number1891159331
StatusActive
Last updated in NPPESApr 11, 2016
Details
- NPI
- 1891159331
- Entity type
- Individual (NPI-1)
- Name
- Diane Gertud Reilly
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2016
- Last updated
- Apr 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2625 | CT | Yes |
Practice location
136 Pembroke RdUnit 6
Danbury, CT 06811-3075
Phone 203-942-8981
Mailing address
36 Pembroke RdUnit 6
Danbury, CT 06811-2956
Phone 203-942-8981
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