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Individual

MELISSA E JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
62 CARTER ROAD, KENT, CT 06757
(860) 927-3772
Mailing address
8 DANA RD, DANBURY, CT 06811-2915

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003809
CT

Other

Enumeration date
03/31/2020
Last updated
03/31/2020
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