Organization
MAGNOLIA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIKA DUCHARME BRASSEAUX APRN, PMHNP (OWNER)
(203) 903-9797
Entity
Organization
Contact information
Practice address
762 BOSTON POST RD FL 2, MADISON, CT 06443-3047
(203) 903-9728
(844) 440-2333
Mailing address
50 BREWERY ST UNIT 9138, NEW HAVEN, CT 06511-5954
(203) 903-9797
(844) 440-2333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/11/2025
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