Individual
MRS. PATRICIA MARIE JENKINS-SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
54 WILLIAM ST, 1ST FLOOR, NEW HAVEN, CT 06511-4939
(203) 676-7617
Mailing address
54 WILLIAM ST, 1ST FLOOR, NEW HAVEN, CT 06511-4939
(203) 676-7617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009136
CT
101YP1600X
Pastoral Counselor
009136
CT
101YP2500X
Professional Counselor
009136
CT
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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