Koval, Jody Michael

Koval, Jody Michael is an sole proprietor health care provider with primary practice located at 501 Kings Highway East Suite 108, E12, Fairfield CT 06825-4859. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Koval, Jody Michael can be contacted via phone (203) 918-8025.

Contact Information

Primary practice address
501 Kings Highway East Suite 108, E12 Fairfield CT 06825-4859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002238 Connecticut

Profile Details

NPI number 1023361482
LBN Legal business name Koval, Jody Michael
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2012
Last updated Oct 23rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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