Individual
JESSICA VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-7080
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-7080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5354
CT
Other
Enumeration date
09/10/2018
Last updated
12/22/2023
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