Individual
BERNISHA LA'SALLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
61 ALPS DR, EAST HARTFORD, CT 06108-1402
(860) 569-5900
Mailing address
92 WYLLYS ST, GLASTONBURY, CT 06033-1198
(860) 938-4831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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