Provider Demographics
NPI:1255661328
Name:COUNSELING BY JENNIFER R. LAPTEW, LLC, LPC
Entity Type:Organization
Organization Name:COUNSELING BY JENNIFER R. LAPTEW, LLC, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER/PROFESSIONAL COUNSE
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:LAPTEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-538-1930
Mailing Address - Street 1:915 MAIN ST
Mailing Address - Street 2:APT 605
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06103-1236
Mailing Address - Country:US
Mailing Address - Phone:860-538-1930
Mailing Address - Fax:
Practice Address - Street 1:304 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2985
Practice Address - Country:US
Practice Address - Phone:860-538-1930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001755101YP2500X
CT101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty