Individual provider · Type 1 NPI

Faith Jackson

Mental Health Counselor · Hamden, CT

NPI number 1336983238 Active

Practice location

1400 Whitney Ave
Hamden, CT 06517-2499

Mailing address

18 Short Oak Dr
Brookfield, CT 06804-2080

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336983238

Faith Jackson's National Provider Identifier is 1336983238, issued on Jun 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hamden, CT. The record was last updated on Jun 24, 2024.