# JEFFREY F KOCHISS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Support for Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841552320
- **Authorized official:** LAURIE FISTOLA (ACCESS MANAGER)
- **Authorized official phone:** (203) 217-6601

## Contact information

- **Practice address:** 555 HIGHLAND AVE STE 1, CHESHIRE, CT 06410-2255
- **Practice address phone:** (203) 437-2161
- **Mailing address:** 408 HIGHLAND AVE, CHESHIRE, CT 06410-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 001297 | CT | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 02/24/2024
