Individual
JAIMI VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 271-4715
(860) 271-4797
Mailing address
PO BOX 390, NEW LONDON, CT 06320-0390
(860) 271-4715
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000138
CT
Other
Enumeration date
06/04/2006
Last updated
07/26/2016
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