MS. Jaclyn Emilia Tanner, M.A., COUNSELING
NPI #1104207158 in Hartford, Connecticut
Provider Information
- NPI Number
- 1104207158
- Entity Type
- Individual
- Name
- MS. Jaclyn Emilia Tanner, M.A., COUNSELING
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.A., COUNSELING
- Enumeration Date
- Jun 16, 2015
- Last Updated
- Jun 28, 2016
Practice Location
- Address
- 45 WADSWORTH ST
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06106-7108
- Phone
- (860) 527-1124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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