Jaclyn D Provencher is a counselor in Manchester, CT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jaclyn D Provencher NPI is 1295221950. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
444 CENTER ST
MANCHESTER, CT
ZIP 06040-926
Phone: (860) 646-3888
Fax: (860) 645-4132
The enumeration date for this NPI number is 7/6/2018 and was last updated on 7/6/2018.