Active NPIIndividual provider

Jennifer Fayer, LADC

Counselor, Addiction (Substance Use Disorder) in Thomaston, Connecticut

NPI Number1134795099
Practice location
19 Hickory Hill RD, Thomaston, CT 06787-1102
Fax
—
Last updated
June 1, 2021

Jennifer Fayer is a Counselor, Addiction (Substance Use Disorder) based in Thomaston, CT. Jennifer Fayer practices in Thomaston, CT and has the professional credentials of LADC. The NPI Number for Jennifer Fayer is 1134795099 and holds a License No. 1410 (CT). The current practice location address for Jennifer Fayer is 19 Hickory Hill RD, Thomaston, CT 06787-1102 and can be reached out via phone at 203-626-4683.

Provider Profile Details

NPI Number
1134795099
Provider Name
Jennifer Fayer
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
19 Hickory Hill RD, Thomaston, CT 06787-1102
Phone Number
203-626-4683
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2021
Last Update Date
June 1, 2021
Certification Date
June 1, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Hickory Hill RD
Thomaston, CT 06787-1102
Zip
06787-1102
Phone Number
203-626-4683
Thomaston, CT 06787Get directions →

Provider Business Mailing Address Details

Address
Po Box 194
Thomaston, CT 06787-0194
City
Thomaston
State
CT
Zip
06787-0194

License Information

License Number
1410
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Fayer, LADC?

The NPI number of Jennifer Fayer, LADC is 1134795099. It was assigned on June 1, 2021 and is currently active in the NPPES registry.

What is the specialty of Jennifer Fayer, LADC?

Jennifer Fayer, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 1410.

Where does Jennifer Fayer, LADC practice?

The practice location is 19 Hickory Hill RD, Thomaston, CT 06787-1102. The office can be reached at 203-626-4683 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134795099 directly on the NPPES registry website.

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