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Search › Connecticut › 237700000X

Jamie Havens

NPI 1548644354 · on the registry since 2015

Practice

Address
123 Farmington Ave
Bristol, CT 06010
Phone
(860) 314-1871
Fax
(860) 584-8425
Organisation at this address
Healing Space
Admire Dental Llc
Kelly Badyrka, Lpc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-07-13

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