Individual
MRS. JODI LYNN WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC 000521
Contact information
Practice address
30 MERLIN AVE, NEW FAIRFIELD, CT 06812
(203) 746-1750
Mailing address
30 MERLIN AVE, NEW FAIRFIELD, CT 06812
(203) 746-1750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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