Individual
JEFFREY ALLEN SIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCA
Contact information
Practice address
35 NOD RD STE 202, AVON, CT 06001-3826
(860) 207-9449
Mailing address
32 MOUNTAIN VIEW DR, PLAINVILLE, CT 06062-3243
(860) 550-4385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8052
CT
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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