Individual provider · Type 1 NPI

Tavia-Simone Bascuine

Mental Health Counselor · West Haven, CT

NPI number 1750757126 Active

Practice location

300 Boston Post Rd
West Haven, CT 06516

Call (203) 932-7330 Map

Mailing address

115 Main Street, #143
East Berlin, CT 06023

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMSW.002363 (CT)
Mental Health Counselor Primary 101YM0800X58.010762 (CT)

Mental Health Counselor: Definition to come...

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About NPI 1750757126

Tavia-Simone Bascuine's National Provider Identifier is 1750757126, issued on Aug 19, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Haven, CT. The record was last updated on Aug 16, 2022.