Individual
JIAN SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-4291
(203) 368-9167
Mailing address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-4291
(203) 368-9167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003466
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
07/13/2018
Last updated
07/16/2018
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