Nicol, Bonnie

Nicol, Bonnie is an individual health care provider with primary practice located at 139 N Main St , West Hartford CT 06107-1264. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Nicol, Bonnie can be contacted via phone (860) 570-1805.

Contact Information

Primary practice address
139 N Main St West Hartford CT 06107-1264
Phone: (860) 570-1805
Fax: (866) 838-0440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000515 Connecticut

Profile Details

NPI number 1346209004
LBN Legal business name Nicol, Bonnie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 28th, 2017 - about 7 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 1346209004 NPPES
Connecticut Other 240000515CT01 BLUE CROSS

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