Individual provider · Type 1 NPI
Jaclyn Willemain, LCSW
Mental Health Counselor · Suffield, CT
NPI number
1003658998
Active
Practice location
1071 North St
Suffield, CT 06078-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1003658998
Jaclyn Willemain, LCSW's National Provider Identifier is 1003658998, issued on Jun 11, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Suffield, CT. The record was last updated on Jun 11, 2024.