Individual
NICOLE ENIS CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
855 LAKEWOOD RD, WATERBURY, CT 06704-5408
(860) 414-2504
Mailing address
92 PEARL LAKE RD, WATERBURY, CT 06706-2515
(203) 206-6123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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