| Jennifer Slack, Lmft | |
|
1630 Cross Hwy Fairfield CT 06824-1707 | |
| (203) 434-5135 | |
| (203) 156-1725 |
| Full Name | Jennifer Slack, Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1630 Cross Hwy, Fairfield, Connecticut |
| Authorized Official Name and Position | Jennifer Slack (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2034345135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Slack, Lmft 1630 Cross Hwy Fairfield CT 06824-1707 Ph: (203) 434-5135 | Jennifer Slack, Lmft 1630 Cross Hwy Fairfield CT 06824-1707 Ph: (203) 434-5135 |
| NPI Number | 1376934497 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 02/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376934497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 001379 (Connecticut) | Primary |
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