Individual
JENNIFER JILLIAN BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 UNION ST, VERNON, CT 06066-3126
(860) 872-0501
(860) 872-5380
Mailing address
31 UNION ST, VERNON, CT 06066-3126
(860) 872-0501
(860) 872-5380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
4013
CT
Other
Enumeration date
03/31/2016
Last updated
12/13/2021
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