Organization
JEFFREY F KOCHISS LLC
Active
Other names
Support for Life
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE FISTOLA (ACCESS MANAGER)
(203) 217-6601
Entity
Organization
Contact information
Practice address
555 HIGHLAND AVE STE 1, CHESHIRE, CT 06410-2255
(203) 437-2161
Mailing address
408 HIGHLAND AVE, CHESHIRE, CT 06410-2525
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001297
CT
Other
Enumeration date
06/12/2012
Last updated
02/24/2024
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