Jeremy M Barbagallo, LPC
Counselor, Professional in West Hartford, CT. Individual provider (NPI-1).
NPI number1164520151
StatusActive
Last updated in NPPESSep 5, 2026
Details
- NPI
- 1164520151
- Entity type
- Individual (NPI-1)
- Name
- Jeremy M Barbagallo
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2006
- Certification date
- Sep 5, 2026
- Last updated
- Sep 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 001248 | CT | Yes |
Practice location
160 Overbrook RdWest Hartford, CT 06107-3764
Phone 860-882-2040
Mailing address
160 Overbrook RdWest Hartford, CT 06107-3764
Phone 860-882-2040
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