Individual
JESSICA LYN SHULTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 WOODLAND RD STE 2, MADISON, CT 06443-2380
(203) 208-8996
Mailing address
90 ROYAL OAK DR, DURHAM, CT 06422-1410
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8436
CT
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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