Organization
UNDER THE JEWEL TREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE JENNINGS (CREDENTIALING SPECIALIST)
(617) 454-4916
Entity
Organization
Contact information
Practice address
79 E PUTNAM AVE, STE. 14, GREENWICH, CT 06830-5644
(203) 489-3711
Mailing address
11 TURNER LN, WILTON, CT 06897-2009
(203) 489-3711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001880
CT
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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