Healthcare Provider Details

I. General information

NPI: 1720858475
Provider Name (Legal Business Name): JEFFREY SEAN HUNT LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 HERITAGE RD STE 2A5
SOUTHBURY CT
06488-6694
US

IV. Provider business mailing address

41 CEDARLAND CT
CROMWELL CT
06416-1748
US

V. Phone/Fax

Practice location:
  • Phone: 203-568-5923
  • Fax:
Mailing address:
  • Phone: 860-833-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number10334
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: