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Juliet Jacob
Mental Health Counselor in Bridgeport, Connecticut
NPI 1992185102

Juliet Jacob is a Mental Health Counselor based in Bridgeport, CT and is specialized in Mental Health. Juliet Jacob practices in Bridgeport, CT. The NPI Number for Juliet Jacob is 1992185102 and holds a License No. (Connecticut).

The current practice location address for Juliet Jacob is 3250 Fairfield Ave Apt 317, Bridgeport, CT and can be reached out via phone at 860-201-3492.

Location: 3250 Fairfield Ave Apt 317, Bridgeport, CT, 06605-3273
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992185102
Provider Name
Juliet Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
3250 Fairfield Ave Apt 317, Bridgeport, CT, 06605-3273
Phone Number
860-201-3492
Fax Number
Provider Enumeration Date
06/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3250 Fairfield Ave Apt 317
City
Bridgeport
State
Connecticut
Zip
06605-3273
Phone Number
860-201-3492
Fax Number
person
Provider Business Mailing Address Details
Address
3250 Fairfield Ave Apt 317
City
Bridgeport
State
Connecticut
Zip
06605-3273
Phone Number
860-201-3492
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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