MEDICARE: JENNIFER HONEN LPC

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	001588	CT

General Provider Information

NPI Number	:	1619133733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER HONEN LPC

Provider Business Mailing Address
First Line	:	737 FARMINGTON AVE
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06119-1744
Country	:	US
Telephone Number	:	860-573-0972
Fax Number	:

Provider Business Practice Location Address
First Line	:	737 FARMINGTON AVE
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06119-1744
Country	:	US
Telephone Number	:	860-573-0972
Fax Number	:

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

Provider Enumeration Date	:	07/29/2008
Last Update Date	:	02/01/2016

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