Individual
JEANNE CANDACE FOLKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.MIN, LPC
Contact information
Practice address
12 OLD FARMS RD, AVON, CT 06001-4214
(860) 678-8779
Mailing address
12 OLD FARMS RD, AVON, CT 06001-4214
(860) 678-8779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000152
CT
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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