Individual provider · Type 1 NPI

Theresa Nicholson, LADC

Counselor · Hartford, CT

NPI number 1376043471 Active

Practice location

660 Prospect Ave 3rd Fl
Hartford, CT 06105-4245

Call (860) 337-7178 Map

Fax (203) 439-2087

Mailing address

660 Prospect Ave Ste 3
Hartford, CT 06105-4245

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X000235 (CT)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376043471

Theresa Nicholson, LADC's National Provider Identifier is 1376043471, issued on Feb 15, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hartford, CT. The record was last updated on Feb 15, 2018.