Gagnon, Nicole

Gagnon, Nicole is an individual health care provider with primary practice located at 134 Church St , Willimantic CT 06226-2612. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gagnon, Nicole can be contacted via phone (860) 450-7130.

Contact Information

Primary practice address
134 Church St Willimantic CT 06226-2612
Phone: (860) 450-7130
Fax: (860) 963-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12336
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1578932158
LBN Legal business name Gagnon, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2015
Last updated Aug 4th, 2022 - about 4 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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