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Jessica Marshall, Ladc
Counselor in Pawcatuck, Connecticut
NPI 1871066613

Jessica Marshall, Ladc is a Counselor based in Westerly, CT. Jessica Marshall, Ladc practices in Pawcatuck, CT. The NPI Number for Jessica Marshall, Ladc is 1871066613 and holds a License No. (Connecticut).

The current practice location address for Jessica Marshall, Ladc is 43 W Broad St, Pawcatuck, CT and can be reached out via phone at 860-857-2834.

Location: 43 W Broad St, Pawcatuck, CT, 02891-1712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871066613
Provider Name
Jessica Marshall, Ladc
Credential
Provider Entity Type
Organization
Address
43 W Broad St, Pawcatuck, CT, 02891-1712
Phone Number
860-857-2834
Fax Number
Provider Enumeration Date
01/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
COP00771 01 RI RI LICENSE
001291 01 CT CT LICENSE
institution
Provider Business Practice Location Address Details
Address
43 W Broad St
City
Pawcatuck
State
Connecticut
Zip
06379-1637
Phone Number
860-857-2834
Fax Number
person
Provider Business Mailing Address Details
Address
43 W Broad St
City
Pawcatuck
State
Connecticut
Zip
06379-1637
Phone Number
860-857-2834
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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