Individual
DR. JON RENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY
Contact information
Practice address
56 G S PROSPECT ST # G, G, HARTFORD, CT 06106-1937
(860) 869-0241
Mailing address
56G S PROSPECT ST # G, G, HARTFORD, CT 06106-1937
(860) 869-0241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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