| J. Cayo Counseling, Llc | |
|
126 Colony St Stratford CT 06615-5728 | |
| (203) 824-7701 | |
| Not Available |
| Full Name | J. Cayo Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 126 Colony St, Stratford, Connecticut |
| Authorized Official Name and Position | Javonna Davis (OWNER/CLINICIAN) |
| Authorized Official Contact | 2038247701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Cayo Counseling, Llc 126 Colony St Stratford CT 06615-5728 Ph: (203) 824-7701 | J. Cayo Counseling, Llc 126 Colony St Stratford CT 06615-5728 Ph: (203) 824-7701 |
| NPI Number | 1235997909 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 0345688925 |
|---|---|
| Medicare Enrollment ID | O20240402000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235997909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Javonna Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235684077 PECOS PAC ID: 1254774003 Enrollment ID: I20240208001230 |
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