Individual
NICOLE MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 BRADLEY ST, SUITE 1, BRISTOL, CT 06010-5103
(860) 516-1126
Mailing address
61 BRADLEY ST, SUITE 1, BRISTOL, CT 06010-5103
(860) 516-1126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002846
CT
Other
Enumeration date
11/18/2013
Last updated
06/06/2016
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