Individual
MS. JENNIFER THERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
32 CHURCH LANE, COVENTRY, CT 06238-0749
(860) 670-3812
Mailing address
PO BOX 749, COVENTRY, CT 06238-0749
(860) 670-3812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001068
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001068
LMFT
CT
Enumeration date
04/13/2007
Last updated
07/20/2007
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