Individual
NICOLE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
988 NEW LONDON TPKE STE 102, GLASTONBURY, CT 06033-5312
(860) 327-5431
Mailing address
988 NEW LONDON TPKE STE 102, GLASTONBURY, CT 06033-5312
(203) 521-0494
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004667
CT
Other
Enumeration date
01/25/2021
Last updated
04/08/2021
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