NPI 1114532249

Shaniqua Dillard, LPCA

Practitioner Professional Counselor North Haven, CT

Practice location

Address: 410 State St, North Haven, CT 06473-3147
Phone: (203) 437-6882
Mailing address: 19 Walnut St, Waterbury, CT 06702-1622

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 4477 (CT)

Other Counselor providers in Connecticut →

Registry record

NPI: 1114532249
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2020
Record last updated: 15 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.