Jessica R Fay Lcsw Llc | |
14 Trumbull St Suite 102 New Haven CT 06511-6312 | |
(203) 506-0789 | |
Not Available |
Full Name | Jessica R Fay Lcsw Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 14 Trumbull St, New Haven, Connecticut |
Authorized Official Name and Position | Jessica R Fay (OWNER) |
Authorized Official Contact | 2035060789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jessica R Fay Lcsw Llc 14 Trumbull St Suite 102 New Haven CT 06511-6312 Ph: (203) 506-0789 | Jessica R Fay Lcsw Llc 14 Trumbull St Suite 102 New Haven CT 06511-6312 Ph: (203) 506-0789 |
NPI Number | 1366798118 |
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Provider Enumeration Date | 07/31/2012 |
Last Update Date | 07/31/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366798118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 006907 (Connecticut) | Primary |
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