JASON BLACK

TRUMBULL, CT
NPI1619161676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CT  1325)
Enumeration Date2007-09-04
Last Update Date2020-07-29
Business Address
JASON BLACK LMFT
487 CHURCH HILL RD FL 2
TRUMBULL, CT 06611-3838
Phone number: 203-400-2407
Mailing Address
JASON BLACK LMFT
55 ALBERTA ST
FAIRFIELD, CT 06825-1507
Phone number: 203-400-2407
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