Organization
JENNIFER BADEAU, LLC
Active
Organization
JENNIFER BADEAU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BADEAU LMFT (OWNER)
(860) 810-5915
Entity
Organization
Contact information
Practice address
2301 SILAS DEANE HWY UNIT 1, ROCKY HILL, CT 06067-2330
(860) 810-5915
Mailing address
26 CLYDE RD, MANCHESTER, CT 06042-3332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
001364
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008016362
—
CT
Enumeration date
05/23/2017
Last updated
05/23/2017
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