Individual
JESSICA STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
154 WEST ST STE 3D, CROMWELL, CT 06416-4400
(860) 893-5628
Mailing address
10 OLD COLONY LN, CROMWELL, CT 06416-2410
(860) 490-2262
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003868
CT
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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