Individual
JENNA RAE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CENTER ROCK GRN STE 9, OXFORD, CT 06478-3170
(203) 951-1858
(203) 307-1771
Mailing address
350 CENTER ROCK GRN STE 9, OXFORD, CT 06478-3170
(120) 395-1185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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