Individual
JODY COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 MELIUS RD, WARREN, CT 06754-1505
(860) 916-5070
Mailing address
212 MELIUS RD, WARREN, CT 06754-1505
(860) 916-5070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3837
CT
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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