Organization
JENNIFER B STAEHLY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER B STAEHLY LCSW (THERAPIST)
(860) 575-9891
Entity
Organization
Contact information
Practice address
276 S MAIN ST, COLCHESTER, CT 06415-2952
(860) 575-9891
Mailing address
229 TOWN ST, EAST HADDAM, CT 06423-1425
(860) 575-9891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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