Individual
CHRISTINE SHEA BIANCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
80 PHOENIX AVE, SUITE 201, WATERBURY, CT 06702
(203) 756-8021
(203) 756-8021
Mailing address
80 PHOENIX AVE, SUITE 306, WATERBURY, CT 06702
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005491
CT
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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