Individual
JODY MICHAEL KOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
501 KINGS HIGHWAY EAST, SUITE 108, E12, FAIRFIELD, CT 06825-4859
(203) 918-8025
Mailing address
1199 WHITNEY AVE, #513, HAMDEN, CT 06517-2872
(203) 918-8025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002238
CT
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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