Organization
EPIPHANY COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JADA I BROWN LPC (DIRECTOR OF CLINICAL SERVICES)
(203) 390-1468
Entity
Organization
Contact information
Practice address
30 BEACH RD, SUITE 3, WOLCOTT, CT 06716-1902
(203) 390-1468
Mailing address
30 BEACH RD, SUITE 3, WOLCOTT, CT 06716-1902
(203) 390-1468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002489
CT
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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