Jennifer Wild, MA, CRC
Counselor in Canton, Connecticut
1760853691- Practice location
- 15 Hilltop Dr, Canton, CT 06019-2138
- Phone
- 860-202-5165
- Fax
- —
- Last updated
- October 19, 2015
Jennifer Wild is a Counselor based in Canton, CT. Jennifer Wild practices in Canton, CT and has the professional credentials of MA, CRC. The NPI Number for Jennifer Wild is 1760853691. The current practice location address for Jennifer Wild is 15 Hilltop Dr, Canton, CT 06019-2138 and can be reached out via phone at 860-202-5165.
Provider Profile Details
- NPI Number
- 1760853691
- Provider Name
- Jennifer Wild
- Credential
- MA, CRC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Hilltop Dr, Canton, CT 06019-2138
- Phone Number
- 860-202-5165
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 19, 2015
- Last Update Date
- October 19, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Hilltop Dr
Canton, CT 06019-2138 - City
- Canton
- State
- Connecticut
- Zip
- 06019-2138
- Phone Number
- 860-202-5165
Provider Business Mailing Address Details
- Address
- 91 Northwest Dr
Plainville, CT 06062-1534 - City
- Plainville
- State
- CT
- Zip
- 06062-1534
- Phone Number
- 860-793-3871
- Fax Number
- 860-793-3369
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Wild, MA, CRC?
The NPI number of Jennifer Wild, MA, CRC is 1760853691. It was assigned on October 19, 2015 and is currently active in the NPPES registry.
What is the specialty of Jennifer Wild, MA, CRC?
Jennifer Wild, MA, CRC is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Jennifer Wild, MA, CRC practice?
The practice location is 15 Hilltop Dr, Canton, CT 06019-2138. The office can be reached at 860-202-5165 (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 1760853691 directly on the NPPES registry website.