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General NPI Number Information
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NPI Number | 1558860700
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Entity Type | Organization
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Legal Business Name | JESSICA PIETRASIEWICZ, LPC, LLC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 304 MAIN ST STE D419
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City | FARMINGTON
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State | CT
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Zip | 06032-2985
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Country | US
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Telephone | 860-255-8785
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Fax |
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Provider Business Mailing Address
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Address Line | 304 MAIN ST STE D419
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City | FARMINGTON
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State | CT
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Zip | 06032-2985
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Country | US
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Telephone | 860-255-8785
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA ROSADO
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Credential | LPC
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Telephone | 860-382-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 002742
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License Number State | CT
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