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Individual

JESSICA HIATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
7B LEDGEBROOK DR, MANSFIELD CENTER, CT 06250
(860) 456-0038
(860) 456-8765
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 774-2020
(860) 779-5437

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004040564
CT
Enumeration date
12/03/2015
Last updated
06/11/2018
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