Organization
JENNIFER SLACK, LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SLACK LMFT (PSYCHOTHERAPIST)
(203) 434-5135
Entity
Organization
Contact information
Practice address
1630 CROSS HWY, FAIRFIELD, CT 06824-1707
(203) 434-5135
(203) 156-1725
Mailing address
1630 CROSS HWY, FAIRFIELD, CT 06824-1707
(203) 434-5135
(203) 156-1725
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001379
CT
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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