Individual
JACQUELINE LINDLEY JANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
74 MACHINE SHOP HILL RD, SOUTH WINDHAM, CT 06266-1118
(860) 617-7906
Mailing address
74 MACHINE SHOP HILL RD, SOUTH WINDHAM, CT 06266-1118
(860) 423-1932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000163
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240000163CT01
ANTHEM BLUE CROSS/BLUE SHIELD
CT
Enumeration date
08/10/2009
Last updated
08/10/2009
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