Organization
JGB PROFESSIONAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH G BENNER LPC, LADC (OWNER)
(203) 666-1605
Entity
Organization
Contact information
Practice address
87 S MAIN ST STE 14, NEWTOWN, CT 06470-2315
(203) 666-1605
(475) 323-2144
Mailing address
215 JACQUELINE DR, SOUTHBURY, CT 06488-2354
(203) 666-1605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3519
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
1234
CT
101YM0800X
Mental Health Counselor
3519
CT
Other
Enumeration date
11/30/2017
Last updated
07/14/2023
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