Individual
NICKESHA SMALLHORNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HARTFORD SQ STE 262, NEW BRITAIN, CT 06052-1161
(203) 444-3778
(860) 780-7080
Mailing address
57 MILLS ST, BRISTOL, CT 06010-4941
(860) 997-8414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CT
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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