JACOB NICHOLLS

SOUTHBURY, CT
NPI1134907942
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CT  13366)
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
JACOB NICHOLLS LCSW
519 HERITAGE RD STE 2A5
SOUTHBURY, CT 06488-6694
Phone number: 203-568-5923
Mailing Address
JACOB NICHOLLS LCSW
11 LINRON DR
DANBURY, CT 06810-6409
Phone number: 203-628-3508