Individual
LILIANA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N MAIN ST, BRISTOL, CT 06010-4926
(860) 506-7991
Mailing address
513 EAST ST, NEW BRITAIN, CT 06051-4808
(959) 255-7912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8516
CT
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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