Tracey Elizabeth Riordan Jacobson LPC

NPI 1295966612 - Counselor - 101YP2500X

NPI Details
NPI 1295966612
Gender Female
Enumeration Date 08/03/2009
Last Updated 08/03/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6 BUSINESS PARK DR
SUITE 203A
BRANFORD CT, 06405-2988, US
Phone (203) 871-9327
Fax
Business Location
6 BUSINESS PARK DR
SUITE 203A
BRANFORD CT, 06405-2988, US
Phone (203) 871-9327
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Connecticut
License Number 001790
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According to our database, Mrs. Tracey Elizabeth Riordan Jacobson LPC NPI is 1295966612, taxonomy code is 101YP2500X and license number is 001790, license state is located at Connecticut. Tracey Elizabeth Riordan Jacobson LPC physically located at 6 Business Park Dr, Branford CT, 06405-2988. NPI Number Tracey Elizabeth Riordan Jacobson LPC has the Individual type.

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1295966612 NPI number is provided on an as is basis without warranty of any kind. 1295966612 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Elizabeth Riordan Jacobson LPC are for informational purposes only.