Individual
JARED TOBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
137 MAIN ST, WETHERSFIELD, CT 06109-3125
(869) 459-8380
Mailing address
137 MAIN ST, WETHERSFIELD, CT 06109-3125
(860) 459-8380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003213
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619240538
—
CT
Enumeration date
02/23/2012
Last updated
03/20/2018
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