Jacob Kennedy

NPI #1558023689 in Willimantic, Connecticut

Provider Information

NPI Number: 1558023689
Entity Type: Individual
Name: Jacob Kennedy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 6, 2021
Last Updated: Oct 6, 2021

Practice Location

Address: 1310 MAIN ST
City: Willimantic
State: Connecticut
ZIP Code: 06226-1910
Phone: (860) 731-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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