| Jessica Champagne Lcsw Llc | |
|
12 Wilson Dr Oxford CT 06478-1422 | |
| (860) 468-9088 | |
| Not Available |
| Full Name | Jessica Champagne Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12 Wilson Dr, Oxford, Connecticut |
| Authorized Official Name and Position | Jessica Champagne (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2035433307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Champagne Lcsw Llc 12 Wilson Dr Oxford CT 06478-1422 Ph: (860) 468-9088 | Jessica Champagne Lcsw Llc 12 Wilson Dr Oxford CT 06478-1422 Ph: (860) 468-9088 |
| NPI Number | 1124506266 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124506266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9924 (Connecticut) | Primary |
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