Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE SMALL, MA, LPC, CLC
Active Sole ProprietorJACKIE SMALL, MA, LPC, CLC is a Professional Counselor healthcare provider located in WESTPORT, Connecticut. NPI 1093115974 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · WESTPORT, CT
Registration Details
- NPI Number
- 1093115974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2014 (11.944088702357 yrs)
- Last Updated
- Mar 31, 2017
- Licenses
-
3158 (CT)ALPP-203587 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 TURKEY HILL RD SSUITE 2LWESTPORT, CT, 068805525Browse CT providers · Browse ZIP 06880
- Phone
- 6462467379
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Lactation Consultant
Other Professional Counselor Providers in WESTPORT, CT
| Name | Credential | NPI |
|---|---|---|
| MS. CARRIE W GORDON-LAND | MA, LPC | 1932189891 |
| MS. PATRICIA BONENFANT | MS, LADC, LPC | 1417966961 |
| MRS. MARSHA MAGUN | LPC | 1346314028 |
| MR. VINCENT J. BENEVENTO JR. | LPC | 1265579940 |
| BEVERLY GERSHON ISENBERG | LPC | 1235385949 |
| MS. MARGO FRIEDMAN | MA, LPC, LADC, CCDP | 1780914127 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.