Individual
MRS. JODY M FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
27 JAMES VINCENT DR, CLINTON, CT 06413-1258
(203) 640-7809
Mailing address
27 JAMES VINCENT DR, CLINTON, CT 06413-1258
(203) 640-7809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002626
CT
Other
Enumeration date
01/11/2013
Last updated
05/30/2023
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