Provider Demographics
NPI:1013381524
Name:HOWARD, JESSICA RACHEL (MS, TFEL)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:RACHEL
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MS, TFEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 EAST ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2367
Mailing Address - Country:US
Mailing Address - Phone:860-966-6685
Mailing Address - Fax:
Practice Address - Street 1:74 EAST STREET
Practice Address - Street 2:
Practice Address - City:PLAINVILLE, CT 06062
Practice Address - State:NY
Practice Address - Zip Code:06062
Practice Address - Country:US
Practice Address - Phone:860-966-6685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional