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General NPI Number Information
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NPI Number | 1154201358
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Entity Type | Organization
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Legal Business Name | JESSICA LYNCH THERAPY
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 67 FEDERAL RD STE 203
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City | BROOKFIELD
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State | CT
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Zip | 06804-2539
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Country | US
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Telephone | 860-946-4358
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Fax |
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Provider Business Mailing Address
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Address Line | 508 LITCHFIELD RD
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City | NEW MILFORD
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State | CT
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Zip | 06776-2009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROFESSIONAL COUNSELOR
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Name | JESSICA LYNCH
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Credential | LPC
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Telephone | 203-917-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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