| Jessica Marshall, Ladc | |
|
43 W Broad St Pawcatuck CT 06379-1637 | |
| (860) 857-2834 | |
| Not Available |
| Full Name | Jessica Marshall, Ladc |
|---|---|
| Speciality | Counselor |
| Location | 43 W Broad St, Pawcatuck, Connecticut |
| Authorized Official Name and Position | Jessica Marshall (OWNER) |
| Authorized Official Contact | 8608572834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marshall, Ladc 2 Marion St Westerly RI 02891-1712 Ph: (860) 857-2834 | Jessica Marshall, Ladc 43 W Broad St Pawcatuck CT 06379-1637 Ph: (860) 857-2834 |
| NPI Number | 1871066613 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871066613 | NPI | - | NPPES |
| COP00771 | Other | RI | RI LICENSE |
| 001291 | Other | CT | CT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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Southeast Counseling Associates, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 401-465-2914 Fax: 401-322-0883 | |
Child And Family Agency Of Southeastern Connecticut, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 S Broad St, Pawcatuck, CT 06379 Phone: 860-437-4550 Fax: 860-661-4262 | |
Se Counseling Associates Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 | |
Southeast Counseling Associates,ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 S Broad St, Suite 103, Pawcatuck, CT 06379 Phone: 860-599-2125 Fax: 401-322-0883 | |
Shaune Martin Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 43 W Broad St Unit 1, Pawcatuck, CT 06379 Phone: 860-245-8548 | |
Southeast Counseling Associates, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 185 S Broad St Ste 103, Pawcatuck, CT 06379 Phone: 860-599-2125 Fax: 401-322-0883 |