Individual
JESSICA E RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 CHURCH ST STE 105, YALESVILLE, CT 06492-2253
(203) 419-6905
Mailing address
53 CORNWALL RD, BURLINGTON, CT 06013-1711
(516) 606-9938
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7248
CT
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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