Individual
MRS. JESSICA S. LAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LPC
Contact information
Practice address
14 CEDAR ST., NEW BRITAIN, CT 06051
(860) 212-9534
(860) 612-0087
Mailing address
14 CEDAR ST., NEW BRITAIN, CT 06051
(860) 212-9534
(860) 612-0087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001382
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004052015
—
CT
Enumeration date
08/29/2006
Last updated
04/16/2009
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