Tavia-Simone Bascuine
Tavia-Simone Bascuine is a Mental Health Counselor in West Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.
- Licensed in
- CT
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
300 Boston Post RdWest Haven, CT 06516
Phone: (203) 932-7330
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 58.010762 (CT) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence MSW.002363 (CT) |
Record details
| NPI number | 1750757126 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 19, 2015 |
| Last updated in NPPES | August 16, 2022 |
| Certification date | August 9, 2022 |
| Mailing address | 115 Main Street, 143, East Berlin, CT 06023 |
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