Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRS
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 224-6369
Mailing address
20 MICHAEL DRIVE, FARMINGTON, CONNECTICUT, CT 06032
(860) 678-0162
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
10/14/2011
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