Individual provider · Type 1 NPI

Nicole Grant

Professional Counselor · Waterbury, CT

NPI number 1922880988 Active

Practice location

855 Lakewood Rd
Waterbury, CT 06704-5408

Call (888) 793-3500 Map

Mailing address

212 Pullen Ave
Waterbury, CT 06708-1261

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X9194 (CT)

Professional Counselor: Definition to come...

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About NPI 1922880988

Nicole Grant's National Provider Identifier is 1922880988, issued on Oct 16, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waterbury, CT. The record was last updated on Dec 16, 2025.