Individual
JEANNE LEAVEY KMETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MA
Contact information
Practice address
475 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3738
(860) 208-3984
Mailing address
33 COATES FARM RD, AMSTON, CT 06231-1342
(860) 208-3984
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3524
CT
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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