Jennifer Wild, M.A., CRC
NPI #1760853691 in Canton, Connecticut
Provider Information
- NPI Number
- 1760853691
- Entity Type
- Individual
- Name
- Jennifer Wild, M.A., CRC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- M.A., CRC
- Enumeration Date
- Oct 19, 2015
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 15 HILLTOP DR
- City
- Canton
- State
- Connecticut
- ZIP Code
- 06019-2138
- Phone
- (860) 202-5165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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