Provider Demographics
NPI:1417259946
Name:WILLIAMS, JODI ERIN (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:JODI
Middle Name:ERIN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:ERIN
Other - Last Name:RABINOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:625 CENTRAL AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2168
Mailing Address - Country:US
Mailing Address - Phone:860-510-1435
Mailing Address - Fax:
Practice Address - Street 1:625 CENTRAL AVE STE 3
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-2168
Practice Address - Country:US
Practice Address - Phone:860-510-1435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-05
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002681101Y00000X
CT2681101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor