Jaclyn D Provencher
Jaclyn D Provencher is a Counselor in Manchester, Connecticut. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
444 Center StManchester, CT 06040-3926
Phone: (860) 646-3888
Fax: (860) 645-4132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1295221950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 6, 2018 |
| Last updated in NPPES | July 6, 2018 |
| Mailing address | 995 Day Hill Rd, Windsor, CT 06095-1722 |
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