Boulette, Jenna
Boulette, Jenna is an individual health care provider with primary practice located at 140 N Frontage Rd , Mansfield Center CT 06250-1648. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boulette, Jenna can be contacted via phone (860) 456-2261.Contact Information
Primary practice address
140 N Frontage Rd
Mansfield Center CT 06250-1648
Phone: (860) 456-2261
Fax: (860) 430-1357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13084 | Connecticut |
Profile Details
| NPI number | 1053086652 |
|---|---|
| LBN Legal business name | Boulette, Jenna |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2021 |
| Last updated | Mar 5th, 2026 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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