Individual
JACLYN CZERNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
880 BURBANK AVE, SUFFIELD, CT 06078-1459
(860) 539-6736
Mailing address
PO BOX 605, SUFFIELD, CT 06078-0605
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/07/2014
Last updated
03/24/2022
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