Organization
JESSICA R FAY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA R FAY LCSW (OWNER)
(203) 506-0789
Entity
Organization
Contact information
Practice address
14 TRUMBULL ST, SUITE 102, NEW HAVEN, CT 06511-6312
(203) 506-0789
Mailing address
14 TRUMBULL ST, SUITE 102, NEW HAVEN, CT 06511-6312
(203) 506-0789
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
006907
CT
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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