Individual
JENNA E ANGELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 258-4171
Mailing address
45 INDIAN HILL AVE, PORTLAND, CT 06480-1123
(860) 965-9859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
46.004048-ASOC
CT
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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