Individual
JEANINE KELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
245 MAIN ST, DANIELSON, CT 06239-2816
(860) 949-5455
(866) 209-6522
Mailing address
PO BOX 20, PUTNAM, CT 06260-0020
(860) 949-5455
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3256
CT
Other
Enumeration date
09/01/2017
Last updated
04/18/2024
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