Provider Demographics
NPI:1518792274
Name:DUKESHERER, CHLOE ESPOSITO (LPCA)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:ESPOSITO
Last Name:DUKESHERER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2662
Mailing Address - Country:US
Mailing Address - Phone:203-453-2999
Mailing Address - Fax:
Practice Address - Street 1:120 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4248
Practice Address - Country:US
Practice Address - Phone:203-453-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7666101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health