Individual
NICOLE RENEE GRUNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
93 WEST ST, DANBURY, CT 06810-6525
(203) 300-4944
Mailing address
170 CANDLEWOOD LAKE RD, BROOKFIELD, CT 06804-2118
(203) 300-4944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5126
CT
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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