Jessica Marks, Lpc LLC
Clinic/Center, Adolescent and Children Mental Health in New Hartford, CT. Organization (NPI-2).
NPI number1033638457
StatusActive
Last updated in NPPESSep 18, 2017
Details
- NPI
- 1033638457
- Entity type
- Organization (NPI-2)
- Legal business name
- Jessica Marks, Lpc LLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2017
- Last updated
- Sep 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
Practice location
280 Main St # CNew Hartford, CT 06057-2748
Phone 860-485-5536
Mailing address
360 Riverton RdRiverton, CT 06065-1102
Phone 860-485-5536
Authorized official
Jessica Marks
Sole Proprietor
8604855536
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