Jackie Small, MA, LPC, CLC
Jackie Small, MA, LPC, CLC is a Professional Counselor in Westport, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2014
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1 Turkey Hill Rd S Ste 2LWestport, CT 06880-5525
Phone: (646) 246-7379
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 3158 (CT) |
|---|---|
| Lactation Consultant (Non-RN) | Taxonomy 174N00000X · Licence ALPP-203587 (CT) |
Record details
| NPI number | 1093115974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , LPC , CLC |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2014 |
| Last updated in NPPES | March 31, 2017 |
| Mailing address | 1 Turkey Hill Rd S, Suite 2l, Westport, CT 06880-5525 |
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