Individual
JULIET JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 FAIRFIELD AVE APT 317, BRIDGEPORT, CT 06605-3273
(860) 201-3492
Mailing address
3250 FAIRFIELD AVE APT 317, BRIDGEPORT, CT 06605-3273
(860) 201-3492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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