Individual
MR. JEFFREY AMBROISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1268 MAIN ST STE 106, NEWINGTON, CT 06111-3043
(203) 952-1900
(860) 785-8925
Mailing address
1268 MAIN ST STE 106, NEWINGTON, CT 06111-3043
(203) 952-1900
(860) 785-8925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002893
CT
Other
Enumeration date
03/01/2013
Last updated
03/07/2016
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