MEDICARE: MS. JENNIFER ROSE LAPTEW LPC, M.ED.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	001755	CT

General Provider Information

NPI Number	:	1881869352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER ROSE LAPTEW LPC, M.ED.

Provider Business Mailing Address
First Line	:	915 MAIN ST
Second Line	:	APT 605
City	:	HARTFORD
State	:	CT
Zip	:	06103-1236
Country	:	US
Telephone Number	:	860-538-1930
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 MAIN ST
Second Line	:	SUITE B
City	:	FARMINGTON
State	:	CT
Zip	:	06032-2985
Country	:	US
Telephone Number	:	860-538-1930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2008
Last Update Date	:	05/29/2015

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