Mark Danaher | Cheshire, CT • PECOS Search

Mark Danaher

Counselor

Behavioral Health & Social Service Providers

425 Redstone Dr, Cheshire, CT 06410-1745

PECOS Enrollment

Based on the most recent information from CMS, provider Mark Danaher does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:15 AM.

Profile Details

Provider ID
1134861610
Provider Type
Individual
Full Name
Danaher, Mark
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/13/2022
Last Updated
4/13/2022

Contact Information

Practice Location

425 Redstone Dr, Cheshire, CT 06410-1745

Unlisted Fax

Mailing Location

425 Redstone Dr, Cheshire, CT 06410-1745

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2197 Connecticut