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Individual

JENNIFER VALVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
281 MAIN ST, EAST HARTFORD, CT 06118-1823
(860) 569-5900
(860) 569-5614
Mailing address
281 MAIN ST, EAST HARTFORD, CT 06118-1823
(860) 569-5900
(860) 569-5614

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
795
CT
104100000X
Social Worker
7542
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7542
STATE LICENSE
CT
Enumeration date
07/22/2011
Last updated
07/22/2011
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