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

Jeffrey Widem

Individual provider Counselor · NPI 1669064242

Jeffrey Widem is a Counselor in Manchester, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

444 Center St
Manchester, CT 06040-3926
Phone: (860) 646-3888
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 number1669064242
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021
Mailing address2 Waterside Xing Ste 401, Windsor, CT 06095-1588

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