Jacob Nicholls, LCSW
NPI #1134907942 in Southbury, Connecticut
Provider Information
- NPI Number
- 1134907942
- Entity Type
- Individual
- Name
- Jacob Nicholls, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 21, 2023
- Last Updated
- Sep 21, 2023
Practice Location
- Address
- 519 HERITAGE RD STE 2A5
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-6694
- Phone
- (203) 568-5923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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