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Jacob Kennedy
Counselor in Willimantic, Connecticut
NPI 1558023689

Jacob Kennedy is a Counselor based in Windsor, CT. Jacob Kennedy practices in Willimantic, CT. The NPI Number for Jacob Kennedy is 1558023689 and holds a License No. (Connecticut).

The current practice location address for Jacob Kennedy is 1310 Main St, Willimantic, CT and can be reached out via phone at 860-731-5522 and via fax at 860-731-5536.

Location: 1310 Main St, Willimantic, CT, 06095-1588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558023689
Provider Name
Jacob Kennedy
Credential
Provider Entity Type
Individual
Gender
Male
Address
1310 Main St, Willimantic, CT, 06095-1588
Phone Number
860-731-5522
Fax Number
860-731-5536
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1310 Main St
City
Willimantic
State
Connecticut
Zip
06226-1910
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider Business Mailing Address Details
Address
1310 Main St
City
Willimantic
State
Connecticut
Zip
06226-1910
Phone Number
860-731-5522
Fax Number
860-731-5536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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