# KIMBERLY JEWELL, LMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588322788
- **Authorized official:** MRS. KIMBERLY JEWELL LMFT (OWNER)
- **Authorized official phone:** (860) 506-6169

## Contact information

- **Practice address:** 615 W JOHNSON AVE STE 202, CHESHIRE, CT 06410-4532
- **Practice address phone:** (860) 506-6169
- **Mailing address:** 26 MURRAY RD APT 2, BRISTOL, CT 06010-6880
- **Mailing address phone:** (860) 506-6169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2021
- **Last updated:** 12/04/2021