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Jessica R Page, LADC
Addiction (Substance Use Disorder) Counselor in Fairfield, Connecticut
NPI 1902179690

Jessica R Page is an Addiction (Substance Use Disorder) Counselor based in Fairfield, CT and is specialized in Addiction (Substance Use Disorder). Jessica R Page practices in Fairfield, CT and has the professional credentials of LADC. The NPI Number for Jessica R Page is 1902179690 and holds a License No. 001292 (Connecticut).

The current practice location address for Jessica R Page is 125 Penfield Rd, Fairfield, CT and can be reached out via phone at 203-255-5777 and via fax at 203-368-9167.

Location: 125 Penfield Rd, Fairfield, CT, 06824-6611
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Provider Profile Details
NPI Number
1902179690
Provider Name
Jessica R Page
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
125 Penfield Rd, Fairfield, CT, 06824-6611
Phone Number
203-255-5777
Fax Number
203-368-9167
Provider Enumeration Date
02/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004069985 05 CT
institution
Provider Business Practice Location Address Details
Address
125 Penfield Rd
City
State
Zip
06824-6611
Phone Number
203-255-5777
Fax Number
203-368-9167
person
Provider Business Mailing Address Details
Address
125 Penfield Rd
City
State
Zip
06824-6611
Phone Number
203-255-5777
Fax Number
203-368-9167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
001292 (Connecticut)
Definition
Definition to come...
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