Jessica Marks, LPC LLC
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · New Hartford, CT
NPI 1033638457 · NPPES record last updated Sep 18, 2017
Key facts
- NPI
- 1033638457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- JESSICA MARKS, LPC LLC
- Practice address
- 280 Main St # C
New Hartford, CT 06057-2748 - Phone
- (860) 485-5536
- NPI assigned
- Sep 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Ms. Jessica Marks, LPC
- Title
- Sole Proprietor
- Phone
- (860) 485-5536
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
280 Main St # C
New Hartford, CT 06057-2748
Mailing address
360 Riverton Rd
Riverton, CT 06065-1102
Phone (860) 485-5536
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All providers in New Hartford, CT · Adolescent and Children Mental Health Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.