Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 PARK ST, NEW HAVEN, CT 06511-5498
(347) 586-8155
Mailing address
98 PARK ST, NEW HAVEN, CT 06511-5498
(347) 586-8155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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