Individual provider · Type 1 NPI
Nicole Renee Bernard, LPC
Professional Counselor · Bridgeport, CT
NPI number
1174109367
Active
Practice location
45 Russo Ter
Bridgeport, CT 06606-4054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 004547 (CT) |
Professional Counselor: Definition to come...
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About NPI 1174109367
Nicole Renee Bernard, LPC's National Provider Identifier is 1174109367, issued on Mar 19, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 19, 2021.