Provider Demographics
NPI:1760271019
Name:CIECHON, JENNIFER (FDNP, LMT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CIECHON
Suffix:
Gender:
Credentials:FDNP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 KODIAK WAY
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-5502
Mailing Address - Country:US
Mailing Address - Phone:603-391-5840
Mailing Address - Fax:
Practice Address - Street 1:1801 E LAKE RD APT 8E
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-2321
Practice Address - Country:US
Practice Address - Phone:603-391-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach