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Individual

JAYMONDE ERRICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCA

Contact information

Practice address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397
Mailing address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
(203) 878-6365
(203) 301-2397

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
004610
CT
101YP2500X
Professional Counselor
Primary
006673
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004039244
CT
Enumeration date
03/25/2022
Last updated
08/17/2023
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