# MS. JENNIFER R KROM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598195919
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 02118 | CT | Yes |
| 103K00000X | Behavior Analyst | 02118 | CT | — |

## Other

- **Enumeration date:** 11/21/2013
- **Last updated:** 11/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 92425 | DCF PROVIDER NUMBER | CT |