Organization
BOLDBRAVEFEARLESS COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICKISHA NEWELL LCSW (MANAGING PARTNER)
(860) 883-6605
Entity
Organization
Contact information
Practice address
58 WARD PL APT 1A, HARTFORD, CT 06106-3096
(860) 883-6605
Mailing address
58 WARD PL APT 1A, HARTFORD, CT 06106-3096
(860) 883-6605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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