Individual
STACY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
167 PARK AVE, NAUGATUCK, CT 06770-2637
(203) 509-5510
Mailing address
167 PARK AVE, NAUGATUCK, CT 06770-2637
(203) 509-5510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002999
CT
Other
Enumeration date
10/31/2016
Last updated
07/18/2024
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