| Jeanine Kelo, Lpc, Llc | |
|
225 Providence Pike Putnam CT 06260-2526 | |
| (860) 949-5455 | |
| Not Available |
| Full Name | Jeanine Kelo, Lpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 225 Providence Pike, Putnam, Connecticut |
| Authorized Official Name and Position | Jeanine Kelo (OWNER) |
| Authorized Official Contact | 8609495455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine Kelo, Lpc, Llc 225 Providence Pike Putnam CT 06260-2526 Ph: () - | Jeanine Kelo, Lpc, Llc 225 Providence Pike Putnam CT 06260-2526 Ph: (860) 949-5455 |
| NPI Number | 1013420025 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013420025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 003256 (Connecticut) | Primary |
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