Individual provider · Type 1 NPI

Jacqueline Banasiewicz, LPC

Professional Counselor · West Hartford, CT

NPI number 1013467133 Active

Practice location

45 S Main St
West Hartford, CT 06107-2441

Call (860) 414-4245 Map

Mailing address

59 Wood Creek Rd
Burlington, CT 06013-1920

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3023 (CT)

Professional Counselor: Definition to come...

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About NPI 1013467133

Jacqueline Banasiewicz, LPC's National Provider Identifier is 1013467133, issued on Oct 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Hartford, CT. The record was last updated on Oct 15, 2016.