Individual
LISA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
275 RIVERVIEW AVE, SHELTON, CT 06484-0648
(203) 305-8854
(203) 305-8854
Mailing address
275 RIVERVIEW AVE, SHELTON, CT 06484-2215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
03/17/2018
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