Individual
JENNIFER FAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
19 HICKORY HILL RD, THOMASTON, CT 06787-1102
(203) 626-4683
Mailing address
PO BOX 194, THOMASTON, CT 06787-0194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1410
CT
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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