Individual provider · Type 1 NPI

Jordan Sileo Wasik, LPC

Mental Health Counselor · Canton, CT

NPI number 1144607367 Active

Practice location

191 Albany Tpke Ste 307
Canton, CT 06019-2554

Mailing address

97B Dyer Ave
Collinsville, CT 06019-3233

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X3093 (CT)

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About NPI 1144607367

Jordan Sileo Wasik, LPC's National Provider Identifier is 1144607367, issued on Apr 27, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canton, CT. The record was last updated on Oct 21, 2021.