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General NPI Number Information
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NPI Number | 1427817253
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Entity Type | Organization
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Legal Business Name | JENNIFER GIUSTRA-KOZEK LPC LLC
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Dates
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Enumeration Date | 03/14/2024
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 787 MAIN ST S UNIT A-5
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City | WOODBURY
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State | CT
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Zip | 06798-3741
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Country | US
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Telephone | 203-714-4413
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Fax | 203-714-4723
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Provider Business Mailing Address
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Address Line | 8 EVERGREEN LN
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City | OXFORD
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State | CT
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Zip | 06478-1472
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Country | US
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Telephone | 203-417-7793
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST / OWNER
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Name | MRS. JENNIFER T GIUSTRA-KOZEK
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Credential | LPC
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Telephone | 203-417-7793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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