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General NPI Number Information
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NPI Number | 1720968910
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Entity Type | Individual
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Provider Name | JESSICA L WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 818 PARK AVE STE 11
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City | BLOOMFIELD
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State | CT
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Zip | 06002-4514
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Country | US
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Telephone | 860-327-4203
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Fax |
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Provider Business Mailing Address
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Address Line | 84 BANNON ST
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City | TORRINGTON
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State | CT
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Zip | 06790-3220
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Country | US
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Telephone | 860-459-7980
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 23663640
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License Number State | CT
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