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Contact Information

MARI JO MACINNIS, LMFT
163 BOSTON POST ROAD SUITE 384
WATERFORD, CT06385
 Phone: 860-444-8774
 Fax: 860-444-8776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for MARI JO MACINNIS · (Female)

NPI # 1083787329
Status Active
Credentials LMFT (Licensed Marriage and Family Therapist)
Entity Individual
Enumeration date 11/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000917
  • CT Other 410000917CT09 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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