Organization
COMPASSIONATE COUNSELING AND CULINARY ARTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE AUDRA JACOBSON LCSW, PHD (LICENSED CLINICAL SOCIAL WORKER)
(516) 528-3831
Entity
Organization
Contact information
Practice address
15 CASSWAY RD, WOODBRIDGE, CT 06525-1214
(516) 528-3831
Mailing address
15 CASSWAY RD, WOODBRIDGE, CT 06525-1214
(516) 528-3831
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
10/31/2022
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