Individual
JESSICA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 EVERGREEN AVE STE 12, HAMDEN, CT 06518-2717
(203) 367-0220
Mailing address
1 JILL LN, CHESHIRE, CT 06410-3402
(203) 494-4988
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
010686
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14615912
—
CT
Enumeration date
02/03/2020
Last updated
02/03/2020
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