Jason T Cerro Lpc INC.
Counselor, Professional in Mystic, CT. Organization (NPI-2).
NPI number1639627508
StatusActive
Last updated in NPPESSep 20, 2016
Details
- NPI
- 1639627508
- Entity type
- Organization (NPI-2)
- Legal business name
- Jason T Cerro Lpc INC.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2016
- Last updated
- Sep 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 002261 | CT | Yes |
Practice location
3175 Gold Star HwyUnit 104, G3
Mystic, CT 06355-1200
Phone 401-524-5938
Mailing address
14 Fieldstone WayWesterly, RI 02891-2697
Phone 401-524-5938
Authorized official
Jason T Cerro
President
4015245938
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