Healthcare Provider Details

I. General information

NPI: 1255661328
Provider Name (Legal Business Name): COUNSELING BY JENNIFER R. LAPTEW, LLC, LPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 MAIN ST SUITE B
FARMINGTON CT
06032-2985
US

IV. Provider business mailing address

915 MAIN ST APT 605
HARTFORD CT
06103-1236
US

V. Phone/Fax

Practice location:
  • Phone: 860-538-1930
  • Fax:
Mailing address:
  • Phone: 860-538-1930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001755
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCT

VIII. Authorized Official

Name: MS. JENNIFER ROSE LAPTEW
Title or Position: SOLE PROPRIETER/PROFESSIONAL COUNSE
Credential:
Phone: 860-538-1930