Individual
JONATHAN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
163 BOSTON POST RD, WATERFORD, CT 06385-2840
(860) 444-8774
(860) 444-8776
Mailing address
4 DELL LN, NIANTIC, CT 06357-1641
(860) 539-0629
(860) 444-8776
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001178
CT
Other
Enumeration date
01/25/2007
Last updated
03/02/2009
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