Individual
MRS. JENNIFER A SHATAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
169 MAIN ST, MIDDLETOWN, CT 06457-3423
(203) 819-0789
Mailing address
169 MAIN ST, MIDDLETOWN, CT 06457-3423
(203) 819-0789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001939
CT
106H00000X
Marriage & Family Therapist
Primary
1939
CT
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/07/2014
Last updated
03/10/2026
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