Individual
JANICE MILOT BICKERSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8 BOULDER WAY, SOUTHBURY, CT 06488-4694
(203) 695-8858
Mailing address
8 BOULDER WAY, SOUTHBURY, CT 06488-4694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002937
CT
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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