Jacquelynn Russo-Boudinot, LMFT, NCC, CDM
NPI #1538521927 in Centerbrook, Connecticut
Provider Information
- NPI Number
- 1538521927
- Entity Type
- Individual
- Name
- Jacquelynn Russo-Boudinot, LMFT, NCC, CDM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT, NCC, CDM
- Enumeration Date
- Mar 24, 2016
- Last Updated
- Jan 18, 2024
Practice Location
- Address
- 90 MAIN ST STE 103A
- City
- Centerbrook
- State
- Connecticut
- ZIP Code
- 06409-1057
- Phone
- (860) 510-6130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
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