Individual
NIKKI CONSTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 GRANT ST, NEW HAVEN, CT 06519-2514
(203) 503-3350
(203) 503-3370
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
(203) 503-3066
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
10/15/2014
Last updated
10/15/2014
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