Individual
NICOLE S. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MA,BA
Contact information
Practice address
210 S MAIN ST, MIDDLETOWN, CT 06457-3764
(203) 806-0820
Mailing address
210 S MAIN ST, MIDDLETOWN, CT 06457-3764
(203) 806-0820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2913
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13759277
CAQH
CT
Enumeration date
12/28/2012
Last updated
12/30/2021
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