Individual
MRS. BRENNA MARIE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
408 HIGHLAND AVE, BLDG A, SUITE 6, CHESHIRE, CT 06410-2525
(203) 494-9030
Mailing address
408 HIGHLAND AVE, BLDG A, SUITE 6, CHESHIRE, CT 06410-2525
(203) 494-9030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001919
CT
101YP2500X
Professional Counselor
Primary
001919
CT
Other
Enumeration date
11/30/2010
Last updated
04/10/2012
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