Individual
JENNIE ANTOINETTE MIELE-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LCAS
Contact information
Practice address
149 MINOR ST, NEW HAVEN, CT 06519-1623
(203) 503-3350
Mailing address
246 SEASIDE AVE, STAMFORD, CT 06902-5466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001608
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-28685
NC
Other
Enumeration date
11/04/2021
Last updated
12/02/2025
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