| Julie Jason Lpc, Llc | |
|
145 Edwin Rd South Windsor CT 06074-2413 | |
| (860) 707-2024 | |
| Not Available |
| Full Name | Julie Jason Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 145 Edwin Rd, South Windsor, Connecticut |
| Authorized Official Name and Position | Julie Jason (OWNER) |
| Authorized Official Contact | 8607072024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Jason Lpc, Llc Po Box 212 South Windsor CT 06074-0212 Ph: (860) 707-2024 | Julie Jason Lpc, Llc 145 Edwin Rd South Windsor CT 06074-2413 Ph: (860) 707-2024 |
| NPI Number | 1558866723 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 03/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558866723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2831 (Connecticut) | Primary |
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