Individual provider · Type 1 NPI

Jessica R. Page, LADC

Addiction (Substance Use Disorder) Counselor · Fairfield, CT

NPI number 1902179690 Active

Practice location

125 Penfield Rd
Fairfield, CT 06824-6611

Fax (203) 368-9167

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X001292 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1902179690

Jessica R. Page, LADC's National Provider Identifier is 1902179690, issued on Feb 11, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CT. The record was last updated on May 8, 2018.