Individual provider · Type 1 NPI

Jacob Kennedy

Counselor · Willimantic, CT

NPI number 1558023689 Active

Practice location

1310 Main St
Willimantic, CT 06226-1910

Call (860) 731-5522 Map

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1558023689

Jacob Kennedy's National Provider Identifier is 1558023689, issued on Oct 6, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Willimantic, CT. The record was last updated on Oct 6, 2021.