Despoelberch, Nicholas

Despoelberch, Nicholas is an individual health care provider with primary practice located at 30 Hazel Terrace Suite 11, Woodbridge CT 06525. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Despoelberch, Nicholas can be contacted via phone (203) 819-7650.

Contact Information

Primary practice address
30 Hazel Terrace Suite 11 Woodbridge CT 06525
Phone: (203) 819-7650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2729 Connecticut

Profile Details

NPI number 1235525387
LBN Legal business name Despoelberch, Nicholas
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Mar 31st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235525387 NPPES
Connecticut Other 008058532 DESPOELBERCH MEDICAID

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