Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYNN RUSSO-BOUDINOT, LMFT, NCC, CDM
Active Sole ProprietorJACQUELYNN RUSSO-BOUDINOT, LMFT, NCC, CDM is a Marriage & Family Therapist healthcare provider located in CENTERBROOK, Connecticut. NPI 1538521927 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · CENTERBROOK, CT
Registration Details
- NPI Number
- 1538521927
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2016 (10.206242742248 yrs)
- Last Updated
- Jan 18, 2024
- License
-
1806 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 MAIN ST STE 103ACENTERBROOK, CT, 064091057Browse CT providers · Browse ZIP 06409
- Phone
- 8605106130
- Fax
- 8607606706
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in CENTERBROOK, CT
| Name | Credential | NPI |
|---|---|---|
| MS. SHAUN ENGLISH | LMFT | 1669627964 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.