Provider Demographics
NPI:1881121028
Name:PEKARI, JESSEMYN ESTHER (MFT)
Entity type:Individual
Prefix:MRS
First Name:JESSEMYN
Middle Name:ESTHER
Last Name:PEKARI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ARODA DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-1358
Mailing Address - Country:US
Mailing Address - Phone:860-878-1209
Mailing Address - Fax:
Practice Address - Street 1:239 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-1422
Practice Address - Country:US
Practice Address - Phone:860-221-4761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-18
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist