| Full Name | Jmo Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 33 Frank Dr, Shelton, Connecticut |
| Authorized Official Name and Position | Jenna Olenoski (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2039974204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmo Pllc 33 Frank Dr Shelton CT 06484-2411 Ph: (203) 997-4204 | Jmo Pllc 33 Frank Dr Shelton CT 06484-2411 Ph: (203) 997-4204 |
| NPI Number | 1144916149 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144916149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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