Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 MAIN ST STE 1, MONROE, CT 06468-2830
(475) 223-1996
Mailing address
#1113, 1201 KINGS HIGHWAY STE 2, FAIRFIELD, CT 06824
(475) 223-1996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
002995
CT
Other
Enumeration date
08/28/2014
Last updated
12/12/2022
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