# MRS. JESSICA SUDOL MINIERI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518524156
- **Gender:** F
- **Credential:** LPC, LMSW, LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 002961 | NY | Yes |
| 101YP2500X | Professional Counselor | 3944 | CT | — |
| 1041C0700X | Clinical Social Worker | 6977 | CT | — |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |

## Other

- **Enumeration date:** 05/20/2019
- **Last updated:** 08/08/2023