Individual
MRS. JESSICA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LLC
Contact information
Practice address
304 MAIN ST STE 313, FARMINGTON, CT 06032-2985
(860) 806-1824
Mailing address
304 MAIN ST STE 313, FARMINGTON, CT 06032-2985
(860) 806-1824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004742
CT
Other
Enumeration date
12/03/2021
Last updated
12/13/2021
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