Individual
MELISSA JAGOE-SEIDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 POST RD STE 3, FAIRFIELD, CT 06824-6075
(475) 489-8408
Mailing address
48 PLYMOUTH AVE, TRUMBULL, CT 06611-4135
(503) 883-3070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1188
OR
101YP2500X
Professional Counselor
Primary
002960
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/16/2007
Last updated
07/21/2022
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