Individual provider · Type 1 NPI

Jeanne Leavey Kmetz, LPC, MA

Professional Counselor · South Windsor, CT

NPI number 1679055974 Active

Practice location

475 Buckland Rd
South Windsor, CT 06074-3738

Mailing address

33 Coates Farm Rd
Amston, CT 06231-1342

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3524 (CT)

Professional Counselor: Definition to come...

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About NPI 1679055974

Jeanne Leavey Kmetz, LPC, MA's National Provider Identifier is 1679055974, issued on Sep 4, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in South Windsor, CT. The record was last updated on Sep 4, 2018.