Individual provider · Type 1 NPI
Jeffrey F. Liddle
Professional Counselor · Hartford, CT
NPI number
1437203148
Active
Practice location
675 Tower Ave, Suite 301
Hartford, CT 06112-1260
Fax (860) 714-8591
Mailing address
675 Tower Avenue, Suite 301
Hartford, CT 06112-1256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000768 (CT) |
Professional Counselor: Definition to come...
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About NPI 1437203148
Jeffrey F. Liddle's National Provider Identifier is 1437203148, issued on Jan 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hartford, CT. The record was last updated on Jul 9, 2007.