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JAMIE TRAHAN
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1740885946
Individual Registrant: JAMIE TRAHAN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3 FOREST VIEW LN HEBRON, CT 06248-1275 US
Tel: 860-550-4013 Fax: --
Tel: 860-550-4013 Fax: --
Contact information for business:
PO BOX 9524 BOLTON, CT 06043-9524 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1740885946
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | CT | 3596 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
