Search › Connecticut › 101YP2500X
Jackie Small, MA, LPC, CLC
NPI 1093115974 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1 Turkey Hill Rd S
Suite 2l
Westport, CT 06880 - Phone
- (646) 246-7379
- Organisation at this address
- Foenix Medical Consulting Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 174N00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut