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Jennifer Carol Russell
Professional Counselor in Monroe, Connecticut
NPI 1578290953

Jennifer Carol Russell is a Professional Counselor based in Bethel, CT and is specialized in Professional. Jennifer Carol Russell practices in Monroe, CT. The NPI Number for Jennifer Carol Russell is 1578290953 and holds a License No. 4017 (Connecticut).

The current practice location address for Jennifer Carol Russell is 887 Main St Ste 1B, Monroe, CT and can be reached out via phone at 203-200-0847.

Location: 887 Main St Ste 1B, Monroe, CT, 06801-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578290953
Provider Name
Jennifer Carol Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
887 Main St Ste 1B, Monroe, CT, 06801-2912
Phone Number
203-200-0847
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
887 Main St Ste 1B
City
Monroe
State
Connecticut
Zip
06468-2800
Phone Number
203-200-0847
Fax Number
person
Provider Business Mailing Address Details
Address
887 Main St Ste 1B
City
Monroe
State
Connecticut
Zip
06468-2800
Phone Number
203-200-0847
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4017 (Connecticut)
Definition
Definition to come...
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