Individual
MRS. TRACEY ELIZABETH RIORDAN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6 BUSINESS PARK DR, SUITE 203A, BRANFORD, CT 06405-2988
(203) 871-9327
Mailing address
6 BUSINESS PARK DR, SUITE 203A, BRANFORD, CT 06405-2988
(203) 871-9327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001790
CT
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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