| Jason T Cerro Lpc Inc. | |
|
3175 Gold Star Hwy Unit 104, G3 Mystic CT 06355-1200 | |
| (401) 524-5938 | |
| Not Available |
| Full Name | Jason T Cerro Lpc Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3175 Gold Star Hwy, Mystic, Connecticut |
| Authorized Official Name and Position | Jason T Cerro (PRESIDENT) |
| Authorized Official Contact | 4015245938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason T Cerro Lpc Inc. 14 Fieldstone Way Westerly RI 02891-2697 Ph: (401) 524-5938 | Jason T Cerro Lpc Inc. 3175 Gold Star Hwy Unit 104, G3 Mystic CT 06355-1200 Ph: (401) 524-5938 |
| NPI Number | 1639627508 |
|---|---|
| Provider Enumeration Date | 09/20/2016 |
| Last Update Date | 09/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639627508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002261 (Connecticut) | Primary |
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