Individual provider · Type 1 NPI

Jessica Macgovern

Professional Counselor · Manchester, CT

NPI number 1124408836 Active

Practice location

444 Center St
Manchester, CT 06040

Call (860) 646-3888 Map

Fax (860) 645-4132

Mailing address

675 Main St
Middletown, CT 06457-2732

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1124408836

Jessica Macgovern's National Provider Identifier is 1124408836, issued on Jun 8, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Manchester, CT. The record was last updated on May 5, 2023.