Individual
NICOLE RENEE BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
45 RUSSO TER, BRIDGEPORT, CT 06606-4054
(203) 526-2279
Mailing address
45 RUSSO TER, BRIDGEPORT, CT 06606-4054
(203) 526-2279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004547
CT
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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