Individual
JILLIAN LAUR FERENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2960 POST RD FL 3, SOUTHPORT, CT 06890-1268
(203) 307-3030
Mailing address
84 ALMA DR, FAIRFIELD, CT 06824-2966
(203) 581-0544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003769
CT
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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