National Provider Identifier Database

JACQUELYNN RUSSO BOUDINOT, LMFT, NCC, CDM – NPI #1538521927
Marriage & Family Therapist

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.


Contact Information

JACQUELYNN RUSSO BOUDINOT, LMFT, NCC, CDM
90 MAIN ST STE 103A
CENTERBROOK, CT06409-1057
Phone: 860-510-6130
Fax: 860-760-6706
Website:
Specialty Taxonomy Code
* Marriage & Family Therapist 106H00000X
Mental Health 101YM0800X
Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for JACQUELYNN RUSSO BOUDINOT

NPI Number 1538521927
Credentials LMFT, NCC, CDM
Entity Individual
Enumeration date 03/24/2016
Last updated 01/18/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • CT License #: 1806
Hospital affiliation n/a

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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