| Jennifer Root, Llc | |
|
139 Hazard Ave Building 2/unit 8 Enfield CT 06082-4585 | |
| (860) 933-7311 | |
| Not Available |
| Full Name | Jennifer Root, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 139 Hazard Ave, Enfield, Connecticut |
| Authorized Official Name and Position | Jennifer Root (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8609937311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Root, Llc 4074 Mountain Rd West Suffield CT 06093-2118 Ph: (860) 993-7311 | Jennifer Root, Llc 139 Hazard Ave Building 2/unit 8 Enfield CT 06082-4585 Ph: (860) 933-7311 |
| NPI Number | 1205212172 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 08/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205212172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 008779 (Connecticut) | Primary |
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