Organization
JYG COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA YAEL GOODMAN LCSW (MANAGING MEMBER)
(917) 623-7765
Entity
Organization
Contact information
Practice address
252 JAMES ST, FAIRFIELD, CT 06824-6475
(917) 623-7765
Mailing address
252 JAMES ST, FAIRFIELD, CT 06824-6475
(917) 623-7765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007879
CT
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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