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Organization

JEANINE KELO, LPC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANINE KELO LPC (OWNER)
(860) 949-5455
Entity
Organization

Contact information

Practice address
225 PROVIDENCE PIKE, PUTNAM, CT 06260-2526
(860) 949-5455
Mailing address
225 PROVIDENCE PIKE, PUTNAM, CT 06260-2526

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003256
CT

Other

Enumeration date
11/13/2017
Last updated
11/13/2017
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