Individual provider · Type 1 NPI

Jessica Marie Davila, MS, LPC

Professional Counselor · Fairfield, CT

NPI number 1780339200 Active

Practice location

125 Penfield Rd
Fairfield, CT 06824-6611

Call (203) 255-5777 Map

Fax (203) 259-9673

Mailing address

475 Clinton Ave
Bridgeport, CT 06605-1700

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X4145 (CT)
Professional Counselor Primary 101YP2500X005443 (CT)

Professional Counselor: Definition to come...

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About NPI 1780339200

Jessica Marie Davila, MS, LPC's National Provider Identifier is 1780339200, issued on Feb 14, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfield, CT. The record was last updated on Sep 19, 2023.