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Individual

MS. JENNI LORRAINE MILNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LADC, SCPG

Contact information

Practice address
62 BRIDGE ST, NEW MILFORD, CT 06776-3547
(860) 355-7312
(860) 354-7023
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2604

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000925
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004123840
CT
05
004257516
CT
05
008017939
CT
05
008031626
CT
05
00925
CT
Enumeration date
05/19/2011
Last updated
02/28/2012
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