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Individual
MRS. JESSICA SUDOL MINIERI
Active
Individual
MRS. JESSICA SUDOL MINIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMSW, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002961
NY
101YP2500X
Professional Counselor
3944
CT
1041C0700X
Clinical Social Worker
6977
CT
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
05/20/2019
Last updated
08/08/2023
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