Individual
JACQUELINE MARJORIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
53 COLEBROOK ST, HARTFORD, CT 06112-1522
(860) 709-7894
Mailing address
53 COLEBROOK ST, HARTFORD, CT 06112-1522
(860) 709-7894
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004825
CT
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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