Search › Connecticut › 106H00000X
Jacquelynn Russo-Boudinot, LMFT, NCC, CDM
NPI 1538521927 · on the registry since 2016 · sole proprietor
Practice
- Address
- 90 Main St Ste 103a
Centerbrook, CT 06409 - Phone
- (860) 510-6130
- Fax
- (860) 760-6706
- Organisation at this address
- Wild Apple Eye Llc
Lower Valley Chiropractic Physicians, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YM0800X
101YP2500X
106H00000X - Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut