Individual
TAVIA-SIMONE BASCUINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BOSTON POST RD, WEST HAVEN, CT 06516
(203) 932-7330
Mailing address
115 MAIN STREET, #143, EAST BERLIN, CT 06023
(203) 932-7330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
58.010762
CT
101YM0800X
Mental Health Counselor
MSW.002363
CT
Other
Enumeration date
08/19/2015
Last updated
08/16/2022
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