Provider Demographics
NPI:1407207988
Name:JARREAU, YVETTE (MFT)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:JARREAU
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:CT
Mailing Address - Zip Code:06883-1032
Mailing Address - Country:US
Mailing Address - Phone:203-544-8720
Mailing Address - Fax:
Practice Address - Street 1:139 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:CT
Practice Address - Zip Code:06883-1032
Practice Address - Country:US
Practice Address - Phone:203-544-8720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist