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Individual

JESSICA LYNN BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
400 COLUMBUS AVENUE, ADULT PSYCHIATRIC CLINIC, NEW HAVEN, CT 06519-1233
(203) 503-3075
(203) 503-3296
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-3183

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4341
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004235918
CT
Enumeration date
07/16/2018
Last updated
03/11/2021
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