Jeffrey Widem 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. Jeffrey Widem NPI is 1669064242. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
444 CENTER ST
MANCHESTER, CT
ZIP 06040-926
Phone: (860) 646-3888
Fax: (860) 731-5536
The CLIA number assigned to this NPI record is 07D0692283 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/5/2021 and was last updated on 2/5/2021.