Individual
FAITH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 WHITNEY AVE, HAMDEN, CT 06517-2499
(203) 248-2116
Mailing address
18 SHORT OAK DR, BROOKFIELD, CT 06804-2080
(860) 671-9453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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