Organization
CREATIVE THERAPY AND EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANNAH D JACKSON LPC (PROFESSIONAL COUNSELOR)
(860) 888-7040
Entity
Organization
Contact information
Practice address
298 PARK RD STE 5, WEST HARTFORD, CT 06119-2018
(860) 888-7040
Mailing address
298 PARK RD STE 5, WEST HARTFORD, CT 06119-2018
(860) 888-7040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3048
CT
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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