Nicole Belanger
Counselor, Professional in West Haven, CT. Individual provider (NPI-1).
NPI number1558086009
StatusActive
Last updated in NPPESDec 30, 2022
Details
- NPI
- 1558086009
- Entity type
- Individual (NPI-1)
- Name
- Nicole Belanger
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2022
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 5955 | CT | Yes |
Practice location
364 Peck AveWest Haven, CT 06516-5415
Phone 862-579-1287
Mailing address
364 Peck AveWest Haven, CT 06516-5415
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