Individual
NICOLLE WARGO-BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 TALCOTTVILLE RD STE 2, VERNON, CT 06066-2390
(860) 245-8955
(860) 541-5389
Mailing address
30 MANSE HILL RD, SOMERS, CT 06071-1544
(860) 245-8955
(860) 541-5389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
06/06/2022
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