Organization
EXCEL YOURSELF NOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY F JONES LPC (OWNER)
(203) 601-6499
Entity
Organization
Contact information
Practice address
297 BRADLEY ST, BRIDGEPORT, CT 06610-1911
(203) 601-6499
Mailing address
297 BRADLEY ST, BRIDGEPORT, CT 06610-1911
(203) 601-6499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568006526
—
CT
Enumeration date
12/04/2019
Last updated
12/04/2019
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