Organization
INTEGRITY COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODYAN GAYNOR LPC (OWNER)
(860) 818-6648
Entity
Organization
Contact information
Practice address
45 S MAIN ST STE 107, WEST HARTFORD, CT 06107-2402
(860) 592-1030
(888) 772-1877
Mailing address
39 ORCHARD ST, EAST HARTFORD, CT 06108-2123
(860) 818-6648
(888) 772-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
003029
CT
104100000X
Social Worker
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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