Individual
MRS. NICOLETTE M BANBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCP LPC
Contact information
Practice address
11 S MAIN ST, MARLBOROUGH, CT 06447-1553
(860) 295-0396
(860) 295-1263
Mailing address
11 S MAIN ST, MARLBOROUGH, CT 06447-1553
(860) 295-0396
(860) 295-1263
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001166
CT
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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