Individual
JORDAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-4291
Mailing address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5248
CT
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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