Individual
JEANNE PATRICIA STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14 LAURELTON CT, MILFORD, CT 06460-3253
(203) 693-2472
Mailing address
14 LAURELTON CT, MILFORD, CT 06460-3253
(203) 693-2472
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000811
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410000811CT01
ANTHEM
CT
Enumeration date
10/22/2005
Last updated
12/29/2020
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