Individual
MICHAEL TODD JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5 CONCORD WAY, NEW MILFORD, CT 06776-5746
(203) 942-8483
Mailing address
5 CONCORD WAY, NEW MILFORD, CT 06776-5746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003463
CT
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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