Organization
JESSICA MARKS, LPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA MARKS LPC (SOLE PROPRIETOR)
(860) 485-5536
Entity
Organization
Contact information
Practice address
280 MAIN ST # C, NEW HARTFORD, CT 06057-2748
(860) 485-5536
Mailing address
360 RIVERTON RD, RIVERTON, CT 06065-1102
(860) 485-5536
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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