Organization
JESSICA NIEK RECOVERY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NIEK LADC (OWNER)
(959) 242-2654
Entity
Organization
Contact information
Practice address
486 S MAIN ST, THOMASTON, CT 06787-1844
(959) 242-2654
Mailing address
45 HIGHLAND ST, BRISTOL, CT 06010-3514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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