IndividualActive
Jaclyn Willemain, LCSW
NPI 1003658998 · Mental Health Counselor · Suffield, CT
Provider details
- NPI number
- 1003658998
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1071 North St
Suffield, CT 06078-1629
Phone: (413) 330-8023
Approximate (ZIP-level) locationGet directions
Mailing address
1071 North St
Suffield, CT 06078-1629
Registry dates
- Enumerated
- 2024-06-11
- Last updated
- 2024-06-11
- Certified
- 2024-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.