Individual
STEPHANIE CONCETTA JAKSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1552
(860) 793-3500
Mailing address
5 HEMLOCK CT, CROMWELL, CT 06416-1718
(870) 997-5386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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