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Individual

JESSICA MAROUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
25 MAIN ST FL 2, HARTFORD, CT 06106-1896
(860) 462-6033
Mailing address
138 HAZELMERE RD, NEW BRITAIN, CT 06053-2116

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3297
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3297
CONNECTICUT PROFESSIONAL COUNSELOR
CT
Enumeration date
10/23/2017
Last updated
10/23/2017
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