Individual
JARED MAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3250 FAIRFIELD AVE APT 212, BRIDGEPORT, CT 06605-3271
(203) 520-0383
Mailing address
3250 FAIRFIELD AVE APT 212, BRIDGEPORT, CT 06605-3271
(203) 520-0383
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003816
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-
NOTHING
—
Enumeration date
08/28/2019
Last updated
08/28/2019
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