Individual
JODY ELIZABETH AXT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HOPE ST, BRISTOL, CT 06010-6374
(860) 793-4206
Mailing address
54 GRIEB TRL, WALLINGFORD, CT 06492-2659
(860) 793-4206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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