Individual
DR. JODI COSTENBADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
666 GLENBROOK RD, 1ST FLOOR, STAMFORD, CT 06906-1439
(203) 329-3759
Mailing address
68 ORCHARD DR, REDDING, CT 06896-2911
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000547
CT
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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