Individual
MISS JESSICA ANN NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
44.001580
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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