Individual provider · Type 1 NPI

Jody Elizabeth Axt

Professional Counselor · Bristol, CT

NPI number 1619837804 Active

Practice location

1 Hope St
Bristol, CT 06010-6374

Mailing address

54 Grieb Trl
Wallingford, CT 06492-2659

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1619837804

Jody Elizabeth Axt's National Provider Identifier is 1619837804, issued on Nov 12, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bristol, CT. The record was last updated on Nov 12, 2025.