Organization
JENNIFER CHARBONNIERLMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHARBONNIER (MARITAL & FAMILY THERAPIST)
(860) 388-3520
Entity
Organization
Contact information
Practice address
100 MAIN ST, CARRIAGE HOUSE, OLD SAYBROOK, CT 06475-2365
(860) 388-3520
(860) 388-3520
Mailing address
100 MAIN ST, CARRIAGE HOUSE, OLD SAYBROOK, CT 06475-2365
(860) 388-3520
(860) 388-3520
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000386
CT
251S00000X
Community/Behavioral Health Agency
000386
CT
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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