Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Kennedy

Individual provider Counselor · NPI 1558023689

Jacob Kennedy is a Counselor in Willimantic, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1310 Main St
Willimantic, CT 06226-1910
Phone: (860) 731-5522
Fax: (860) 731-5536
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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 number1558023689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address2 Waterside Xing Ste 401, Windsor, CT 06095-1588

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