Healthcare Provider Details

I. General information

NPI: 1821760406
Provider Name (Legal Business Name): JENNIFER ANN NARCISCO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 NEW HAVEN AVE STE B
MILFORD CT
06460-6661
US

IV. Provider business mailing address

291 S LAMBERT RD STE 2
ORANGE CT
06477-3559
US

V. Phone/Fax

Practice location:
  • Phone: 475-209-3288
  • Fax:
Mailing address:
  • Phone: 475-414-6307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5203
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: