Individual
MRS. BIANCA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1652 MERIDEN RD APT 22, WATERBURY, CT 06705-3922
(203) 560-9169
Mailing address
PSC 47 BOX 153, APO, AE 09470-0002
(203) 560-9169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
265881
KY
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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