Jessica M Davila, MS, LPC
Counselor, Professional in Fairfield, Connecticut
1780339200- Practice location
- 125 Penfield RD, Fairfield, CT 06824-6611
- Phone
- 203-255-5777
- Fax
- 203-259-9673
- Last updated
- September 19, 2023
Jessica Marie Davila is a Counselor, Professional based in Fairfield, CT. Jessica Marie Davila practices in Fairfield, CT and has the professional credentials of MS, LPC. The NPI Number for Jessica Marie Davila is 1780339200 and holds a License No. 4145 (CT). The current practice location address for Jessica Marie Davila is 125 Penfield RD, Fairfield, CT 06824-6611 and can be reached out via phone at 203-255-5777 and via fax at 203-259-9673.
Provider Profile Details
- NPI Number
- 1780339200
- Provider Name
- Jessica Marie Davila
- Credential
- MS, LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 125 Penfield RD, Fairfield, CT 06824-6611
- Phone Number
- 203-255-5777
- Fax Number
- 203-259-9673
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 14, 2022
- Last Update Date
- September 19, 2023
- Certification Date
- September 19, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 Penfield RD
Fairfield, CT 06824-6611 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-6611
- Phone Number
- 203-255-5777
- Fax Number
- 203-259-9673
Provider Business Mailing Address Details
- Address
- 475 Clinton Ave
Bridgeport, CT 06605-1700 - City
- Bridgeport
- State
- CT
- Zip
- 06605-1700
- Phone Number
- 203-255-5777
- Fax Number
- 203-259-9673
License Information
- License Number (1)
- 4145
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Professional · 101YP2500X
- License Number (2)
- 005443
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica M Davila, MS, LPC?
The NPI number of Jessica M Davila, MS, LPC is 1780339200. It was assigned on February 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Jessica M Davila, MS, LPC?
Jessica M Davila, MS, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 4145.
Where does Jessica M Davila, MS, LPC practice?
The practice location is 125 Penfield RD, Fairfield, CT 06824-6611. The office can be reached at 203-255-5777 (phone) or 203-259-9673 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780339200 directly on the NPPES registry website.