Individual
LEILANIE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 POMFRET ST, PUTNAM, CT 06260-1852
(860) 963-4971
(860) 963-4979
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1587
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
09/26/2024
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