Individual
WENDY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
297 BRADLEY ST, BRIDGEPORT, CT 06610-1911
(475) 212-2882
Mailing address
297 BRADLEY ST, BRIDGEPORT, CT 06610-1911
(475) 212-2882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003900
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659918126
—
CT
Enumeration date
11/03/2019
Last updated
03/06/2020
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