Individual
BRENNA LAUREN JASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
125 BOSTON POST RD, WATERFORD, CT 06385-2841
(860) 917-0790
Mailing address
11 MICHIGAN CIR, OAKDALE, CT 06370-1540
(860) 908-1023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3906
CT
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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