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Individual

JESSICA LEIGH BELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
103 LEWIS ST FL 1, MIDDLETOWN, CT 06457-5226
(203) 606-5024
Mailing address
103 LEWIS ST FL 1, MIDDLETOWN, CT 06457-5226
(203) 606-5024

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
46.006049
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46.006049
STATE OF CONNECTICUT, DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
01/04/2023
Last updated
01/04/2023
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