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JASON T CERRO LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811248867

Individual Registrant:
 JASON T CERRO LPC
Gender: M
Sole Proprietor

Location and contact information for practice:
3175 GOLD STAR HWY 104, G3 MYSTIC, CT 06355-1200 US
Tel: 401-524-5938  Fax: --

Contact information for business:
14 FIELDSTONE WAY  WESTERLY, RI 02891-2697 US
Tel: 401-524-5938  Fax: --

Registration Information:
NPI: 1811248867
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CT002261

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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