Individual
MS. SHANICE TIANNA TRICOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
56 CHURCH ST, WATERBURY, CT 06702-2103
(203) 755-1196
Mailing address
885 WATERTOWN AVE, WATERBURY, CT 06708-2033
(340) 277-3845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4858
CT
Other
Enumeration date
06/25/2021
Last updated
07/12/2021
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