Individual
KIRA AKULOVA-NICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
270 GREENWICH AVE, GREENWICH, CT 06830-6530
(914) 888-6432
Mailing address
270 GREENWICH AVE, GREENWICH, CT 06830-6530
(203) 424-0012
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
003774
CT
Other
Enumeration date
09/24/2019
Last updated
10/16/2019
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