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Individual
JESSICA MARIE DAVILA
Active
Individual
JESSICA MARIE DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005443
CT
101YP2500X
Professional Counselor
4145
CT
Other
Enumeration date
02/14/2022
Last updated
09/19/2023
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