Individual
BIANNCA SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12 COMMODORE HULL DR, DERBY, CT 06418-2255
(203) 906-9913
Mailing address
12 COMMODORE HULL DR, DERBY, CT 06418-2255
(203) 906-9913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8296
CT
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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