| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHANICE TIANNA TRICOCHE | 1821668625 | 2021-07-12 |
Shanice Tianna Tricoche is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821668625. Registration indicates Shanice Tianna Tricoche is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Ms. Shanice Tianna Tricoche LPC-A |
| Practice Office Address | 56 CHURCH ST WATERBURY, CT US |
| Practice Office Telephone | 2037551196 |
| Mailing Address | 885 WATERTOWN AVE WATERBURY, CT 067082033 US |
| Business Telephone | 3402773845 |
| Code | Practice | License No State |
|---|---|---|
| 101YP2500X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Professional Behavioral Health/Substance Abuse/Psychiatry Counselor Professional Behavioral Health & Social Service Providers Counselor | 4858
CT |