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Individual

JEROY M. SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4 DAYTON ST, NEW HAVEN, CT 06515-2802
(475) 675-0282
Mailing address
4 DAYTON ST, NEW HAVEN, CT 06515-2802
(475) 675-0282

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/07/2021
Last updated
02/07/2021
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